Individual provider Active NPI

Michael S. Kocinski, D.O.

  • Family Medicine Physician
  • Wildwood Crest, NJ
National Provider Identifier
1295798262
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07045200 Issued in NJ
Practice address
6410 New Jersey Ave
Wildwood Crest, NJ 08260-1216
Phone
(609) 523-1331
Fax
(609) 522-1516
NPI assigned
Apr 10, 2006
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54675 WI
Family Medicine Physician 207Q00000X OS 009951L PA
Family Medicine Physician 207Q00000X 25MB07045200 NJ Primary

Addresses

Primary practice location

6410 New Jersey Ave
Wildwood Crest, NJ 08260-1216

Mailing address

6410 New Jersey Ave
Wildwood Crest, NJ 08260-1216
Phone (609) 523-1331

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
I20120627000092 NJ Practitioner - Osteopathic Manipulative Medicine 7113920711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

1613 Route 47
Unit F
Rio Grande, NJ 08242-1411
Phone (609) 407-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB07045200NJMDFamily Medicine Physician
OS 009951LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Nov 26, 2017 Accepting new patients
Atlanticare Physician Group PA Family Medicine Current Accepting new patients
Cooper Physician Offices, PA CurrentSince Jun 3, 2012 Accepting new patients
Atlanticare Physician Group CurrentSince Nov 26, 2017 Accepting new patients
Cooper University Hospital Cape Regional Inc Past Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

3 Cooper Plz
Rm 502
Camden, NJ 08103
Phone (856) 342-2921

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

1210 Brace Rd
Ste 102
Cherry Hill, NJ 08034
Phone (856) 428-6616

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1613 Route 47 S
Unit F
Rio Grande, NJ 08242
Phone (609) 886-5245

6410 New Jersey Ave
Wildwood Crst, NJ 08260
Phone (609) 523-1331

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1295798262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 NEW JERSEY AVE",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082601216",
            "telephone_number": "609-523-1331",
            "fax_number": "609-522-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 NEW JERSEY AVE",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082601216",
            "telephone_number": "609-523-1331",
            "fax_number": "609-522-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCINSKI",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "54675",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS 009951L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07045200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood Crest, NJ

Sources for this page

Verify at the official NPI Registry.