Michael J Kozaczek, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

25MA06733500 Issued in NJ

Practice address

66 Maple Ave
Morristown, NJ 07960-5250

Phone

(973) 267-1274

NPI assigned

Oct 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Alliance Imaging Center of Morristown, LLC

  • Diagnostic Radiology Physician
  • Morristown, NJ
  • NPI 1184698771
  NPD (past)
• Imaging Center of Montville LLC

  • Diagnostic Radiology Physician
  • Montville, NJ
  • NPI 1396719993
  NPD (past)
• Memorial Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Parsippany, NJ
  • NPI 1629096219
  NPD (past)
• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  NPD (past)
• Trustees of Columbia University in the City of New York

  dba Columbia Presbyterian Radiologists

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1467560854
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598855470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 AVE MARIA CT",
            "city": "MILLINGTON",
            "state": "NJ",
            "postal_code": "079461550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAPLE AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605250",
            "telephone_number": "973-267-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZACZEK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "25MA06733500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8579504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Kothari, MD
• Konstantinos Peter Koulogiannis, M.D.
• Athena Sofia Kourkoulis
• Monica Kathy Kowalczyk
• Janeen K. Kowalek Kinney, LPC, LCADC
• Adam Christopher Krajewski, M.D.
• Joanna Maria Krajewski, MD
• Thomas John Krall, M.D.
• Jackson Kramer
• Vitina Krentz, MSW, LCSW

• Legal Medicine in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Legal Medicine in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.