Individual provider Active NPI

Marc J Kozinn, M.D.

  • Cardiovascular Disease Physician
  • Williamsville, NY
National Provider Identifier
1952367369
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
156801 Issued in NY
Practice address
19 Limestone Dr
Suite 11
Williamsville, NY 14221-7091
Phone
(716) 635-7600
Fax
(716) 635-7603
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 156801 NY Primary

Addresses

Primary practice location

19 Limestone Dr
Suite 11
Williamsville, NY 14221-7091

Mailing address

8604 Main St
Suite 4
Williamsville, NY 14221-7463
Phone (716) 635-7600

Other identifiers 1

IdentifierTypeStateIssuer
001041125MedicaidNY

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

OrganizationSpecialtyStatusNew patients
Mobile Diagnostic Testing Services Inc Past Accepting new patients
Cardiology Reading Panel LLC Cardiovascular Disease Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1952367369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 MAIN ST",
            "address_2": "SUITE 4",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217463",
            "telephone_number": "716-635-7600",
            "fax_number": "716-635-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LIMESTONE DR",
            "address_2": "SUITE 11",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217091",
            "telephone_number": "716-635-7600",
            "fax_number": "716-635-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZINN",
        "first_name": "MARC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "156801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001041125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.