Individual provider Active NPI

Marina Cozort, M.D.

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1366640112
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
247520 Issued in NY
Practice address
1276 Fulton Ave
Adult Outpatient Clinic, 8TH Floor
Bronx, NY 10456-3402
Phone
(718) 901-6492
Fax
(718) 901-6490
NPI assigned
Jul 3, 2007
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA08356600 NJ
Psychiatry Physician 2084P0800X 247520 NY Primary

Addresses

Primary practice location

1276 Fulton Ave
Adult Outpatient Clinic, 8TH Floor
Bronx, NY 10456-3402

Mailing address

1276 Fulton Ave
Adult Outpatient Clinic, 8TH Floor
Bronx, NY 10456-3402
Phone (718) 901-6492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090917000174 NY Practitioner - PsychiatryPractitioner - Addiction Medicine 9133275092 Practice locations: Bronx, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247520NYMDLicensed Practical Nurse
25MA08356600NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quarry Road Emergency Services P.C. Past Accepting new patients
St. Barnabas Hospital Past Accepting new patients
St. Barnabas Hospital Past Accepting new patients
Jay Lawrence Friedman, M.D., L.L.C. Psychiatry PastSince Feb 2, 2009 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mcozort19477@sbhny.direct-ci.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1366640112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "address_2": "ADULT OUTPATIENT CLINIC, 8TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402",
            "telephone_number": "718-901-6492",
            "fax_number": "718-901-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "address_2": "ADULT OUTPATIENT CLINIC, 8TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402",
            "telephone_number": "718-901-6492",
            "fax_number": "718-901-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZORT",
        "first_name": "MARINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08356600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "247520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.