Active NPI
Constance A Cozza, MD
- Anesthesiology Physician
- Utica, NY
National Provider Identifier
1548251903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 222904 1
- Practice address
- 2405 Genesee St
Utica, NY 13501-6214 - Phone
- (315) 798-9788
- Fax
- (315) 798-9766
- NPI assigned
- Nov 3, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 222904 1 | NY | Primary |
Addresses
Primary practice location
2405 Genesee St
Utica, NY 13501-6214
Mailing address
2405 Genesee St
Utica, NY 13501-6214
Phone (315) 798-9788
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050081858 | Other | NY | PALMETTO |
| 10062293 | Other | NY | CDPHP |
| 207045400 | Other | NY | US DEPT OF LABOR |
| 00931237 | Medicaid | NY | |
| 060504000012 | Other | NY | FIDELIS |
| 2138895 | Other | NY | UNITED HEALTHCARE |
| 02194250 | Medicaid | NY | |
| 361178 | Other | NY | MVP |
| 11315791 | Other | CAQH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222904 1 | NY | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1548251903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135016214",
"telephone_number": "315-798-9788",
"fax_number": "315-798-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135016214",
"telephone_number": "315-798-9788",
"fax_number": "315-798-9766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZZA",
"first_name": "CONSTANCE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "222904 1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "050081858",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10062293",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "207045400",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00931237",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "060504000012",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2138895",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02194250",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "361178",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11315791",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.