Individual provider Active NPI

Jennifer Marie Coseo, MD

  • Pediatrics Physician
  • Sayre, PA
National Provider Identifier
1225295090
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD462515 Issued in PA
Practice address
1011 N Elmer Ave
Sayre, PA 18840-1832
Phone
(570) 887-3070
Fax
(570) 887-3382
NPI assigned
May 20, 2008
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 252524 NY
Pediatrics Physician 208000000X MD462515 PA Primary

Addresses

Primary practice location

1011 N Elmer Ave
Sayre, PA 18840-1832

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other practice location 1

302 Hoffman St
Elmira, NY 14905-2263
Phone (607) 734-2264

Other practice location 2

302 Hoffman St
Elmira, NY 14905-2263
Phone (607) 734-2264

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcoseo128121@direct-guthrie.org Direct

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD462515PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Tier Pediatrics PC Pediatrics PastSince Mar 9, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jcoseo128121@direct-guthrie.org

Organizations & group practices 1

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1225295090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858",
            "fax_number": "570-887-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N ELMER AVE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401832",
            "telephone_number": "570-887-3070",
            "fax_number": "570-887-3382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Hoffman St",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149052263",
            "country_code": "US",
            "telephone_number": "607-734-2264",
            "fax_number": "607-767-0340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Hoffman St",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149052263",
            "country_code": "US",
            "telephone_number": "607-734-2264",
            "fax_number": "607-767-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSEO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "252524",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD462515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcoseo128121@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1011 N Elmer Ave",
            "city": "Sayre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "188401832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.