Active NPI
Jessica L Cofone, LSW
- Social Worker
- North Bergen, NJ
National Provider Identifier
1295018505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05589200
- Practice address
- 9225 Kennedy Blvd
Suite a
North Bergen, NJ 07047-5361 - Phone
- (201) 869-2707
- NPI assigned
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05589200 | NJ | Primary |
Addresses
Primary practice location
9225 Kennedy Blvd
Suite a
North Bergen, NJ 07047-5361
Mailing address
279 Broadway
Suite 301
Long Branch, NJ 07740-6940
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05589200 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapro-Corf, LLC | Past | Accepting new patients | |
| Therapro Medical and Surgical Rehabilitation, P.C. | 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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- North Bergen, NJ
- NPI 1326338781
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- North Bergen, NJ
- NPI 1043497571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1295018505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 BROADWAY",
"address_2": "SUITE 301",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077406940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 KENNEDY BLVD",
"address_2": "SUITE A",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070475361",
"telephone_number": "201-869-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFONE",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05589200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.