Individual provider Active NPI

John Cozzarelli, DPM

  • Foot & Ankle Surgery Podiatrist
  • Belleville, NJ
National Provider Identifier
1699889535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00188800 Issued in NJ
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5230403MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000636 NJ Practitioner - Podiatry 8123914298 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions17
Removal of nail tissue1586
Removal or shaving of skin growth1132
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004219NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates of Belleville PC Foot & Ankle Surgery CurrentSince Apr 29, 1992 Accepting new patients
The Gout Institute of America at Belleville, PC PastSince Jan 2, 2019 Accepting new patients
Essex Surgical Arts Surgery Center, LLC PastSince Apr 3, 2006 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.