Individual provider Active NPI

Christina Cocozzo, DDS

  • Dentist
  • Malta, NY
National Provider Identifier
1497910962
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046198 Issued in NY
Practice address
4 Hemphill PL
Suite 151
Malta, NY 12020-4426
Phone
(518) 899-5800
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 046198 NY Primary

Addresses

Primary practice location

4 Hemphill PL
Suite 151
Malta, NY 12020-4426

Mailing address

4 Hemphill PL
Suite 151
Malta, NY 12020-4426
Phone (518) 899-5800

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

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1497910962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HEMPHILL PL",
            "address_2": "SUITE 151",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204426",
            "telephone_number": "518-899-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HEMPHILL PL",
            "address_2": "SUITE 151",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204426",
            "telephone_number": "518-899-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCOZZO",
        "first_name": "CHRISTINA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.