Organization Active NPI

Dr Ramin B Cocoziello MD PC

  • Specialist
  • Fair Lawn, NJ
National Provider Identifier
1295929867
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06185100 Issued in NJ
Legal business name
DR RAMIN B COCOZIELLO MD PC
Practice address
12-15 Broadway
Suite E
Fair Lawn, NJ 07410-2031
Phone
(201) 794-0910
Fax
(201) 794-2164
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Ramin Barry Cocoziello, MDNPI 1053344077
Title
Owner
Phone
(201) 794-0910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA06185100 NJ Primary

Addresses

Primary practice location

12-15 Broadway
Suite E
Fair Lawn, NJ 07410-2031

Mailing address

12-15 Broadway
Suite E
Fair Lawn, NJ 07410-2031
Phone (201) 794-0910

Other identifiers 11

IdentifierTypeStateIssuer
12603OtherNJUHP
2834209000OtherNJAMERIHEALTH
3057336007OtherNJCIGNA
6564101MedicaidNJ
1478475OtherNJAETNA
0141417OtherNJGHI
1042204OtherNJHORIZON NJ HEALTH
P394261OtherNJOXFORD HEALTH PLANS
01000035500OtherNJAMERICHOICE
3K4802OtherNJHEALTHNET
14138OtherNJAMERIGROUP

National Provider Directory

National Provider Directory

Locations

12-15 Broadway
Ste E
Fair Lawn, NJ 07410
Phone (201) 794-0910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1295929867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-15 BROADWAY",
            "address_2": "SUITE E",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102031",
            "telephone_number": "201-794-0910",
            "fax_number": "201-794-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-15 BROADWAY",
            "address_2": "SUITE E",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102031",
            "telephone_number": "201-794-0910",
            "fax_number": "201-794-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RAMIN B COCOZIELLO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "COCOZIELLO",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-794-0910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06185100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP",
            "identifier": "12603",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2834209000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3057336007",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6564101",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1478475",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0141417",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1042204",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P394261",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000035500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K4802",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "14138",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.