Active NPI
Dr Ramin B Cocoziello MD PC
- Specialist
- Fair Lawn, NJ
National Provider Identifier
1295929867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA06185100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramin Barry Cocoziello, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12603 | Other | NJ | UHP |
| 2834209000 | Other | NJ | AMERIHEALTH |
| 3057336007 | Other | NJ | CIGNA |
| 6564101 | Medicaid | NJ | |
| 1478475 | Other | NJ | AETNA |
| 0141417 | Other | NJ | GHI |
| 1042204 | Other | NJ | HORIZON NJ HEALTH |
| P394261 | Other | NJ | OXFORD HEALTH PLANS |
| 01000035500 | Other | NJ | AMERICHOICE |
| 3K4802 | Other | NJ | HEALTHNET |
| 14138 | Other | NJ | AMERIGROUP |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Fair Lawn, NJ
- NPI 1053344077
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.