Active NPI
Edward J. Kozakowski, M.D.
- Internal Medicine Physician
- Pleasantville, NJ
National Provider Identifier
1902852064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA03372300
- Practice address
- 48 Ansley Blvd
Pleasantville, NJ 08232-3058 - Phone
- (609) 641-1077
- NPI assigned
- May 26, 2006
- Last updated
- Nov 27, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA03372300 | NJ | Primary |
Addresses
Primary practice location
48 Ansley Blvd
Pleasantville, NJ 08232-3058
Mailing address
834 Plaza PL
Ocean City, NJ 08226-3853
Phone (609) 391-1419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Executive Health Resources Clinical Staffing Solutions PC | Internal Medicine | Past | Accepting new patients |
| Rowan Integrated Special Needs | Internal Medicine | Past | Accepting new patients |
| Hera Inpatient Services | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Somers Point, NJ
- NPI 1760511240
-
- Internal Medicine Physician
- Sewell, NJ
- NPI 1336605393
-
- Internal Medicine Physician
- Newtown Square, PA
- NPI 1225067424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259280000000",
"number": "1902852064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 PLAZA PL",
"city": "OCEAN CITY",
"state": "NJ",
"postal_code": "082263853",
"telephone_number": "609-391-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 ANSLEY BLVD",
"city": "PLEASANTVILLE",
"state": "NJ",
"postal_code": "082323058",
"telephone_number": "609-641-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZAKOWSKI",
"first_name": "EDWARD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2009-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03372300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasantville, NJ
- John R Jones, DDS
- Samirah Jacqueline Jones
- Joy Children's Medical Day Care,LLC (Joy Children's Medical Day Care)
- Samantha Kendall, D.D.S.
- Leo J. Kituskie, DMD
- TSZ Kwok
- Larry M Fuerman OD & Scott a Fuerman OD PTR
- Larry M Fuerman OD & Scott a Fuerman OD PTR
- Thuyngoc Le, PHARM.D
- Thomas L. Letizia, DDS, MAGD, FICOI, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.