Active NPI
Joseph M Koziol, MD FACS
- Neurological Surgery Physician
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 25MA04495800
- Practice address
- 101 Old Short Hills Rd Ste 409
West Orange, NJ 07052-1023 - Phone
- (973) 322-6732
- Fax
- (973) 322-6545
- NPI assigned
- Nov 30, 2006
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 25MA04495800 | NJ | Primary |
Addresses
Primary practice location
101 Old Short Hills Rd Ste 409
West Orange, NJ 07052-1023
Mailing address
101 Old Short Hills Rd Ste 409
West Orange, NJ 07052-1023
Phone (973) 322-6732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00134807 | Other | NJ | RAILROAD MEDICARE PIN# |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Rutgers New Jersey Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Old Short Hills Rd
Suite 409
West Orange, NJ 07052-1023
Phone (973) 322-6732
200 S Orange Ave
Livingston, NJ 07039-5817
Phone (973) 322-7838
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 42 |
| Laminectomy or laminotomy (partial removal of spine bones) | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04495800 | NJ | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Otakar R Hubschmann MD PA | Neurological Surgery | Current | Accepting new patients |
Locations
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
200 S Orange Ave
Ste 101
Livingston, NJ 07039
Phone (973) 322-7580
200 S Orange Ave
Ste 275
Livingston, NJ 07039
Phone (732) 235-6333
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
101 Old Short Hills Rd
Ste 409
West Orange, NJ 07052
Phone (973) 322-6732
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/93462298-4bdc-4b5e-ab96-39df8bb9a9b2/
- jkoziol237844@epicdirect.rwjbh.org
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 and National Provider Directory roles.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Neurological Surgery Physician
- West Orange, NJ
- NPI 1790990380
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1942378070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD STE 409",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521023",
"telephone_number": "973-322-6732",
"fax_number": "973-322-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD STE 409",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521023",
"telephone_number": "973-322-6732",
"fax_number": "973-322-6545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZIOL",
"first_name": "JOSEPH",
"middle_name": "M",
"credential": "MD FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NJ",
"license": "25MA04495800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN#",
"identifier": "P00134807",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.