Active NPI
Joseph Michael Kosakoski Jr., D.O.
- Family Medicine Physician
- Lancaster, PA
National Provider Identifier
1659468627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS4628L
- Practice address
- 230 Harrisburg Ave
Suite 8
Lancaster, PA 17603-2959 - Phone
- (717) 509-1931
- Fax
- (717) 509-1934
- NPI assigned
- Oct 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS4628L | PA | Primary |
Addresses
Primary practice location
230 Harrisburg Ave
Suite 8
Lancaster, PA 17603-2959
Mailing address
8 Waterfront Estates Dr
Lancaster, PA 17602-4133
Phone (717) 291-2185
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121023000088 | PA | Order and Referring Only - Family Practice | 5395803027 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS4628L | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659468627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WATERFRONT ESTATES DR",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176024133",
"telephone_number": "717-291-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HARRISBURG AVE",
"address_2": "SUITE 8",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032959",
"telephone_number": "717-509-1931",
"fax_number": "717-509-1934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSAKOSKI",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS4628L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.