JOHN COOKE, MD, LLC (NPI# 1083035497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083035497 |
| Entity Type | Organization |
| Organization Name | JOHN COOKE, MD, LLC |
| Practice Address |
516 Bloomfield Ave Suite 4 Montclair NJ 07042-3429 |
| Mailing Address |
34 Saint Lukes Pl Montclair NJ 07042-2139 |
| Practice Telephone | 9735091500 |
| Practice Fax Number | 9735091919 |
| Mailing Telephone | 9737681005 |
| Mailing Fax Number | 9735091919 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-06 |
| Authorized Official Name | DR. JOHN RICHARD COOKE (OWNER/DIRECTOR) |
| Authorized Official Telephone | 9737681005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA07095800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8256004 | 05 | |
| NJ | DEA | FC0110584 | 01 |
| Street Address |
516 BLOOMFIELD AVE SUITE 4 |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083895114 | John Cooke | Psychiatry & Neurology | 516 Bloomfield Ave, Suite 4, Montclair, NJ 07042-3429 | 2007-11-16 |
| 1679988703 | Erika Baron | Clinical Neuropsychologist | 516 Bloomfield Ave, Suite 3, Montclair, NJ 07042-3429 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255589461 | Yuli Fradkin | Psychiatry & Neurology | 94 Valley Rd Fl 2, Montclair, NJ 07042-2211 | 2008-08-29 |
| 1902084791 | Bindi Shah | Psychiatry & Neurology | Montclair State University; Caps, 1 Normal Ave, Montclair, NJ 07043-1624 | 2008-02-05 |
| 1083895114 | John Cooke | Psychiatry & Neurology | 516 Bloomfield Ave, Suite 4, Montclair, NJ 07042-3429 | 2007-11-16 |
| 1962558296 | Carlos Alvare | Psychiatry & Neurology | 311 Claremont Ave, Montclair, NJ 07042-2240 | 2007-01-27 |
| 1174676886 | Marie R Badaracco-apolito | Psychiatry & Neurology | 88 Norwood Ave, Montclair, NJ 07043-1937 | 2007-01-18 |
| 1972662526 | Amy Green | Psychiatry & Neurology | 326 Park St, Montclair, NJ 07043-2232 | 2006-12-08 |
| 1346310349 | Alison Lynn Weiner | Psychiatry & Neurology | 31 S Fullerton Ave Fl 3, Montclair, NJ 07042-3455 | 2006-11-08 |
| 1194810895 | Edward A Latimer | Psychiatry & Neurology | 24 Portland Pl, Montclair, NJ 07042-2822 | 2006-10-04 |
| 1164523056 | Laurence Michael Westreich | Psychiatry & Neurology | 202 Bellevue Ave, Side Entrance, Montclair, NJ 07043-1897 | 2006-09-26 |
| 1497782775 | Catherine A Liebhauser | Psychiatry & Neurology | 311 Claremont Ave Ste 1b, Montclair, NJ 07042 | 2006-06-26 |
| Find all providers in MONTCLAIR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.