Alfred Coccaro, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD6699 Issued in DC

Practice address

1150 Varnum St NE
Washington, DC 20017-2180

Phone

(202) 269-7000

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

State licenses

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1629077789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BERWYN HOUSE RD",
            "address_2": "STE 208",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402474",
            "telephone_number": "301-220-0150",
            "fax_number": "301-220-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172180",
            "telephone_number": "202-269-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCARO",
        "first_name": "ALFRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0014031",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101022473",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD6699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7271603-160097",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James C Cobey, MD
• Kelsey Diva Cobourn
• Sara Coburn, PA-C
• Shayna Coburn, PH.D.
• Louis Eugene Cobuzzi, R.PH., M.S.
• Brooke Coccia, PSY.D.
• Erica Amber Cochran, RD,LD
• Schwanna Y Cockerham-Qualls, LPC
• Becky C. Cockerill, MSN
• Kahiau Ryuichi Cockett-Nagamine, MD

• Diagnostic Radiology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Diagnostic Radiology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.