Active NPI
John Cozzarelli, DPM
- Foot & Ankle Surgery Podiatrist
- Belleville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00188800
- Practice address
- 155 Belleville Ave
Belleville, NJ 07109-2407 - Phone
- (973) 450-0878
- Fax
- (973) 450-1013
- NPI assigned
- Aug 18, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00188800 | NJ | Primary |
Addresses
Primary practice location
155 Belleville Ave
Belleville, NJ 07109-2407
Mailing address
93 N Spring Garden Ave
Nutley, NJ 07110-1529
Phone (973) 667-7096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5230403 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
155 Belleville Ave
Belleville, NJ 07109-2407
Phone (973) 450-0878
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
| Removal of skin lesions | 17 |
| Removal of nail tissue | 1586 |
| Removal or shaving of skin growth | 1132 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004219 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Associates of Belleville PC | Foot & Ankle Surgery | Current | Accepting new patients |
| The Gout Institute of America at Belleville, PC | Past | Accepting new patients | |
| Essex Surgical Arts Surgery Center, LLC | Past | Accepting new patients |
Locations
155 Belleville Ave
Belleville, NJ 07109
Phone (973) 450-0878
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Belleville, NJ
- NPI 1053425900
-
dba Mobile Vascular Physicians
- Ambulatory Surgical Clinic/Center
- Belleville, NJ
- NPI 1295848752
-
- Pain Medicine Physician
- Belleville, NJ
- NPI 1477046092
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699889535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 N SPRING GARDEN AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101529",
"telephone_number": "973-667-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 BELLEVILLE AVE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071092407",
"telephone_number": "973-450-0878",
"fax_number": "973-450-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZZARELLI",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00188800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5230403",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, NJ
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.