Gary J Kosc, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA04388300 Issued in NJ

Practice address

1130 McBride Avenue
Woodland Park, NJ 07424

Phone

(973) 812-1400

Fax

(913) 812-1404

NPI assigned

Jun 22, 2005

Last updated

Apr 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gastroenterology Diagnostics of Northern New Jersey, PA

  • Ambulatory Surgical Clinic/Center
  • Woodland Park, NJ
  • NPI 1942267893

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1932105236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVENUE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "973-812-1400",
            "fax_number": "913-812-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVENUE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "973-812-1400",
            "fax_number": "913-812-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSC",
        "first_name": "GARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA04388300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinetic Foot and Ankle, LLC
• Kitchen Tango
• Marc Kitrosser, DPM
• Elsie Koh, MD
• Michael Patrick Kolosvary, DPT
• Hakkyung Lee Kovacs, NPC
• Mark Krasner
• Paul Krisa, MD
• Adam Kuehn, M.D.
• Benjamin Laursen, DPT

• Gastroenterology Physician in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.