Individual provider Active NPI

Tonya X Cook, D.M.D.

  • Dentist
  • Perth Amboy, NJ
National Provider Identifier
1467431049
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20369 Issued in NJ
Practice address
149 Kearny Ave
Perth Amboy, NJ 08861-4700
Phone
(732) 293-0135
Fax
(732) 293-0139
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20369 NJ Primary

Addresses

Primary practice location

149 Kearny Ave
Perth Amboy, NJ 08861-4700

Mailing address

149 Kearny Ave
Perth Amboy, NJ 08861-4700
Phone (732) 293-0135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915002012 PA Practitioner - Dentist 1557361532 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20369NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Jul 17, 2023 Accepting new patients
Ivy Hill Dental Center Dentist Current Accepting new patients
Star Community Health, Inc CurrentSince Jul 17, 2023 Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: tonya.cook@slpg.direct-sluhn.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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1467431049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 KEARNY AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614700",
            "telephone_number": "732-293-0135",
            "fax_number": "732-293-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 KEARNY AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614700",
            "telephone_number": "732-293-0135",
            "fax_number": "732-293-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TONYA",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "20369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.