Individual provider Active NPI

Beverly Anne Cocozza, RNFA

  • Registered Nurse First Assistant
  • Brigantine, NJ
National Provider Identifier
1366870370
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
26NR17086200 Issued in NJ
Practice address
289 40TH St S FL 1
Brigantine, NJ 08203-3305
Phone
(973) 957-0551
Fax
(866) 396-3054
NPI assigned
Oct 30, 2013
Last updated
Dec 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN-259085-L PA
Registered Nurse First Assistant 163WR0006X 26NR17086200 NJ Primary

Addresses

Primary practice location

289 40TH St S FL 1
Brigantine, NJ 08203-3305

Mailing address

289 40TH St S FL 1
Brigantine, NJ 08203-3305
Phone (973) 957-0551

Other practice location 1

117 Frost Ln
Newtown, PA 18940-2010
Phone (215) 962-9924

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

LicenseStateTypeSpecialty
26NR17086200NJMDRegistered Nurse First Assistant
RN-259085-LPAMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Rnfa, LLC Past Accepting new patients
Resilient Rnfa, LLC 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, 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": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1366870370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 40TH ST S FL 1",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082033305",
            "telephone_number": "973-957-0551",
            "fax_number": "866-396-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 40TH ST S FL 1",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082033305",
            "telephone_number": "973-957-0551",
            "fax_number": "866-396-3054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Frost Ln",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189402010",
            "country_code": "US",
            "telephone_number": "215-962-9924",
            "fax_number": "215-860-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCOZZA",
        "first_name": "BEVERLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "PA",
            "license": "RN-259085-L",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NR17086200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigantine, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.