Cocco Enterprises Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

COCCO ENTERPRISES INC

Practice address

788 Shrewsbury Ave
BLDG 2 Ste 205
Tinton Falls, NJ 07724-3080

Phone

(732) 842-2047

Fax

(732) 842-2049

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Sarah Young

Title

Director of Contracting

Phone

(336) 397-0991

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Level Four Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Charlotte, NC
  • NPI 1922048313

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1891836375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 EMPIRE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036710",
            "telephone_number": "336-397-2165",
            "fax_number": "336-397-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 SHREWSBURY AVE",
            "address_2": "BLDG 2 STE 205",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243080",
            "telephone_number": "732-842-2047",
            "fax_number": "732-842-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCCO ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING",
        "authorized_official_telephone_number": "336-397-0991"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Cisar, D.M.D
• Risa Clay, LCADC
• Adriana Clayton
• Clear Waters Behavioral Health PC
• Clear Waters Health and Wellness PC
• Sara Codispoti
• Jason D Cohen, MD
• Kris Colabella, LCSW
• Sharon D Collins, LCSW
• Comprehensive Psychology System PC

• All providers in Tinton Falls, NJ
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.