Individual provider Active NPI

Kristin Ann Kozakowski, M.D.

  • Pediatric Urology Physician
  • Neptune, NJ
National Provider Identifier
1396060596
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
25MA10527700 Issued in NJ
Practice address
1944 Rte 33
Ste 203
Neptune, NJ 07753
Phone
(732) 613-9144
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 25MA10527700 NJ Primary

Addresses

Primary practice location

1944 Rte 33
Ste 203
Neptune, NJ 07753

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792

Other identifiers 1

IdentifierTypeStateIssuer
0690414MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131217001673 FL Practitioner - Urology 2365679479
I20210211000795 NJ Practitioner - Pediatric Medicine 2365679479 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10527700NJMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

620 Cranbury Rd
Ste 111
East Brunswick, NJ 08816
Phone (732) 238-2662

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

27 S Cooks Bridge Rd
Ste 2-20
Jackson, NJ 08527
Phone (732) 613-9144

27 S Cooks Bridge Rd
Ste 2-5
Jackson, NJ 08527
Phone (732) 987-5530

1944 State Route 33
Ste 203
Neptune, NJ 07753
Phone (732) 776-4755

81 Davis Ave
Ste 4
Neptune, NJ 07753
Phone (732) 776-4178

19 Davis Ave
Ste 5
Neptune, NJ 07753

1944 State Route 33
Ste 204
Neptune, NJ 07753
Phone (732) 776-4755

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

516 Lawrie St
Ste 1
Perth Amboy, NJ 08861

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: kristin.kozakowski@direct.hackensackmeridian.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1396060596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 RTE 33",
            "address_2": "STE 203",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-613-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAKOWSKI",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NJ",
            "license": "25MA10527700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0690414",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.