Active NPI
Barbara M Cocovinis, M.D.
- Pediatric Critical Care Medicine Physician
- Paterson, NJ
National Provider Identifier
1285636563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MA37625
- Practice address
- 703 Main St
Paterson, NJ 07503-2621 - Phone
- (973) 754-2560
- Fax
- (973) 754-3702
- NPI assigned
- Jun 1, 2005
- Last updated
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MA37625 | NJ | Primary |
Addresses
Primary practice location
703 Main St
Paterson, NJ 07503-2621
Mailing address
PO Box 36282
Newark, NJ 07188-6006
Phone (973) 773-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1797808 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA37625 | NJ | MD | Pediatric Critical Care Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1285636563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36282",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071886006",
"telephone_number": "973-773-0100",
"fax_number": "973-773-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2560",
"fax_number": "973-754-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCOVINIS",
"first_name": "BARBARA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NJ",
"license": "MA37625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1797808",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.