Individual provider Active NPI

Joann C. Cozza, DO

  • Pediatrics Physician
  • Conshohocken, PA
National Provider Identifier
1215997499
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS006621L Issued in PA
Practice address
625 West Ridge Pike
BLDG a, Ste 300
Conshohocken, PA 19428
Phone
(610) 825-1994
Fax
(610) 825-2949
NPI assigned
Mar 23, 2006
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS006621L PA Primary

Addresses

Primary practice location

625 West Ridge Pike
BLDG a, Ste 300
Conshohocken, PA 19428

Mailing address

625 West Ridge Pike
BLDG a, Ste 300
Conshohocken, PA 19428
Phone (610) 825-1994

Other practice location 1

821 Huntingdon Pike Ste 207
Huntingdon Valley, PA 19006-8372
Phone (215) 322-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS006621LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Pediatrics, Inc Pediatrics Past Accepting new patients
Robert M Selig MD T a Andorra Pediatrics Pediatrics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1215997499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WEST RIDGE PIKE",
            "address_2": "BLDG A, STE 300",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "610-825-1994",
            "fax_number": "610-825-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WEST RIDGE PIKE",
            "address_2": "BLDG A, STE 300",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "610-825-1994",
            "fax_number": "610-825-2949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Huntingdon Pike Ste 207",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190068372",
            "country_code": "US",
            "telephone_number": "215-322-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COZZA",
        "first_name": "JOANN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS006621L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.