Alfred Joseph Cossari Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

119075 Issued in NY

Practice address

311 Barnum Avenue
Port Jefferson, NY 11777

Phone

(631) 928-6400

Fax

(631) 928-2353

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Stony Brook Orthopaedic Associates, University Faculty Practice Corpor

  • Orthopaedic Surgery Physician
  • Stony Brook, NY
  • NPI 1154377638
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1972607000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BARNUM AVENUE",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-928-6400",
            "fax_number": "631-928-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BARNUM AVENUE",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-928-6400",
            "fax_number": "631-928-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSSARI",
        "first_name": "ALFRED",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NY",
            "license": "119075-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "119075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Christina Comillas, RN
• Heather Patrice Coniglio, MA, CCC-SLP
• Kelly Ann Connors, NP
• Kellianne Contri-McCann, PT, DPT, CLT
• Steven C Cortes
• Kelly Jo Costello
• Christie Lee Cotty, PA
• Ann L Covitz, MSW
• Michelle Marilyn Craddock, ANP
• Benjamin Craig

• Ophthalmology Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.