KEITH D. COOK (NPI# 1235243106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235243106 |
| Entity Type | Individual |
| Full Name | KEITH D. COOK |
| Credential | D.P.M. |
| Practice Address |
140 Bergen St Level E Newark NJ 07103-2425 |
| Mailing Address |
30 Bergen St Admc 12 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739728320 |
| Practice Fax Number | 9739723162 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00254100 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 9036903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023118304 | Keith Roger Cook | Chiropractor | 1323 Us Highway 81, Belleville, KS 66935-8107 | 2006-09-25 |
| 1871660225 | Keith J Cook | Physical Therapist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-29 |
| 1437225786 | Keith George Cook | Family Medicine | 3959 E 120th Ave, Thornton, CO 80233-1657 | 2006-11-28 |
| 1396824710 | Keith E Cook | Psychologist | 60 Front St, Waterville, ME 04901-6658 | 2006-11-05 |
| 1396753844 | Keith Eric Cook | Radiology | 2602 Buford Rd, North Chesterfield, VA 23235-3422 | 2006-08-03 |
| 1396740957 | Keith R Cook | Internal Medicine | 301 Med Tech Pkwy, Ste 240, Johnson City, TN 37604-2364 | 2005-06-20 |
| Street Address |
140 BERGEN ST LEVEL E |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721668 | Bernadette Marion Cracchiolo | Obstetrics & Gynecology | 140 Bergen St, Acc Level C, Newark, NJ 07103-2425 | 2006-06-24 |
| 1871190140 | University Hospital | Podiatrist | 140 Bergen St, Newark, NJ 07103-2425 | 2020-10-08 |
| 1972159234 | University Ob/gyn Associates (om) | Obstetrics & Gynecology | 140 Bergen St, Newark, NJ 07103-2425 | 2019-08-13 |
| 1578119012 | Naji Madi | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-08-12 |
| 1265992416 | Mary Elias | Nurse Practitioner | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-22 |
| 1275092124 | Andrew Reid Leggett | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-19 |
| 1023576238 | Anh Nguyen | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-06 |
| 1699201145 | John Cece | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Ambulatory Care Center E1620, Newark, NJ 07103-2425 | 2017-05-03 |
| 1932634250 | Di Bai | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2017-04-24 |
| 1568995009 | Chrystal Yin Chang | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Ambulatory Care Center G1680, Newark, NJ 07103-2425 | 2017-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841633542 | Sonia Mvuemba | Podiatrist | 150 Bergen St # G-142, Newark, NJ 07103-2496 | 2013-04-11 |
| 1922282235 | Stephen R. Pittman, Dpm Pa | Podiatrist | 410 Christiana Medical Ctr, Newark, DE 19702-1654 | 2007-12-21 |
| 1396835799 | Kenneth L Abram | Podiatrist | 843 N 21st St Ste 107, Newark, OH 43055-2954 | 2006-10-14 |
| 1275528309 | Jason M. Bell | Podiatrist | 1 Centurian Drive, Suite 101, Newark, DE 19713-2137 | 2005-09-14 |
| 1285052878 | Cherreen Tawancy | Podiatrist | 1920 Tamarack Rd, Newark, OH 43055 | 2014-04-01 |
| 1023447844 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 467 Mount Prospect Ave, Newark, NJ 07104-2907 | 2013-11-02 |
| 1265799217 | Amanda Leigh Quisno | Podiatrist | 1920 Tamarack Rd, Newark, OH 43055-2303 | 2012-04-16 |
| 1518268499 | Advanced Foot & Ankle Center Inc. | Podiatrist | 1060 Broad St, Newark, NJ 07102-2397 | 2010-11-09 |
| 1356582126 | Warren A Chiodo | Podiatrist | 150 Bergen St, G142, Newark, NJ 07103-2496 | 2009-03-09 |
| 1942421839 | Dr Kenneth Frank | Podiatrist | 111 Mulberry St, Suite 1r, Newark, NJ 07102-4008 | 2007-05-01 |
| Find all providers in NEWARK | ||||
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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.