Individual provider Active NPI

John Anthony Coccaro, M.D.

  • Interventional Pain Medicine Physician
  • Toms River, NJ
National Provider Identifier
1235280314
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA06552700 Issued in NJ
Practice address
300 W Water St Ste a
Toms River, NJ 08753-6692
Phone
(732) 800-2760
Fax
(732) 505-5432
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA06552700 NJ
Interventional Pain Medicine Physician 208VP0014X 25MA06552700 NJ Primary

Addresses

Primary practice location

300 W Water St Ste a
Toms River, NJ 08753-6692

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address John.Coccaro.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000243 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 7810927068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

1001 Laurel Oak Rd
Suite A2
Voorhees, NJ 08043-3512
Phone (856) 566-8600

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

300 W Water St
Suite a
Toms River, NJ 08753-6692
Phone (732) 800-2760

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Pain Management, LLC CurrentSince Nov 28, 2012 Accepting new patients
Premier Brain and Spine, LLC Interventional Pain Medicine CurrentSince Apr 14, 2025 Accepting new patients
Premier Brain and Spine LLC CurrentSince Apr 14, 2025 Accepting new patients
Liberty Anesthesia, PC Anesthesiology Past Accepting new patients
Toms River Perioperative Associates, LLC Anesthesiology PastSince Oct 15, 2008 Accepting new patients
Atlanticare Regional Medical Center Anesthesiology Past Accepting new patients
Toms River Anesthesia Associates PC Anesthesiology Past Accepting new patients
Liberty Pain Center, LLC Interventional Pain Medicine Past Accepting new patients

Locations

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

300 W Water St
Ste A
Toms River, NJ 08753
Phone (732) 244-8766

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Interoperability endpoints

  • Direct secure messaging: johncoccaro@ppml-nj1.direct.office.nextgen.com
  • Direct secure messaging: john.coccaro.1@21449.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1235280314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WATER ST STE A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536692",
            "telephone_number": "732-800-2760",
            "fax_number": "732-505-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCARO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06552700",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA06552700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Coccaro.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "300 W Water St Ste A",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087536692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.