Edward Kosoy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07609500 Issued in NJ

Practice address

704 Passaic Ave
West Caldwell, NJ 07006-6468

Phone

(973) 771-8601

Fax

(973) 228-3200

NPI assigned

Mar 9, 2006

Last updated

Apr 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montclair Hospital LLCGroup PAC ID 7810092814, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ekosoy188839@ahs.direct-ci.com

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.

• Edward Kosoy MD, PC

  • Family Medicine Physician
  • West Caldwell, NJ
  • NPI 1427551951
  Medicare reassignment NPD Authorized official
• Montclair Hospital LLC

  dba Mountainside Family Practice Associates

  • Primary Care Clinic/Center
  • Verona, NJ
  • NPI 1295983484

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Denville Medical Health Center & Sports Rehab P.C.

  • Chiropractor
  • Denville, NJ
  • NPI 1003836420
  Medicare reassignment NPD
• Montclair Hospital LLC

  dba HackensackUMC Mountainside

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  NPD
• Montclair Hospital LLC

  dba Internal Medicine Department

  • Primary Care Clinic/Center
  • Montclair, NJ
  • NPI 1487802930
  NPD (past)
• Mountainside Family Practice Associates - Merit

  • Family Medicine Physician
  • Verona, NJ
  • NPI 1528199890
  NPD (past)
• New York Community Hospital of Brooklyn, Inc.

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1205840055

  Family Medicine

  NPD (past)

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

• Montclair Hospital LLC

  dba HackensackUMC Mountainside

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1871561571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SCHWEINBERG DR",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681133",
            "telephone_number": "973-627-7888",
            "fax_number": "973-627-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 PASSAIC AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066468",
            "telephone_number": "973-771-8601",
            "fax_number": "973-228-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 E Main St",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "078342647",
            "country_code": "US",
            "telephone_number": "973-627-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSOY",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228980",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07609500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004324",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Kojchev
• Albert Benedict Koomson
• Bernard Michael Kruger, DMD
• Donna Krych
• Cyril R Kurian, PT,DPT
• Kelli Ann Laurice
• Trung M Le

• Family Medicine Physician in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.

Verify at the official NPI Registry.