SUSAN COCOZIELLO MD LLC (NPI# 1598007395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598007395 |
| Entity Type | Organization |
| Organization Name | SUSAN COCOZIELLO MD LLC |
| Other Organization Name | SUSAN COCOZIELLO MD LLC |
| Practice Address |
1 Broadway Suite 303 Elmwood Park NJ 07407-1845 |
| Mailing Address |
1 Broadway Suite 303 Elmwood Park NJ 07407-1842 |
| Practice Telephone | 2017947717 |
| Practice Fax Number | 2017940335 |
| Mailing Telephone | 2017947717 |
| Mailing Fax Number | 2017940335 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-08-09 |
| Authorized Official Name | MRS. SUSAN PAKRAVAN COCOZIELLO (OWNER) |
| Authorized Official Telephone | 2017947717 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MB25981 | NJ | Other Service Providers |
| Other Name | Type Code |
|---|---|
| susan cocoziello md llc | Former Legal Business Name - Organization |
| Street Address |
1 BROADWAY SUITE 303 |
| City | ELMWOOD PARK |
| State | NJ |
| Zip Code | 07407-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750377933 | Stuart Alan Katz | Dentist | 1 Broadway, Suite 101, Elmwood Park, NJ 07407-1842 | 2005-09-23 |
| 1063907897 | Karyn Austin | Nurse Practitioner | 1 Broadway, Suite 303, Elmwood Park, NJ 07407-1842 | 2018-06-25 |
| 1588107874 | Elite Pediatrics LLC | Pediatrics | 1 Broadway, Suite 303, Elmwood Park, NJ 07407-1842 | 2016-11-18 |
| 1023491990 | Absolute Health Care, P.C. | Specialist | 1 Broadway, Suite 301, Elmwood Park, NJ 07407-1842 | 2015-07-09 |
| 1386027266 | Broadway Wellness, P.C. | Specialist | 1 Broadway, Suite 301, Elmwood Park, NJ 07407-1842 | 2015-07-09 |
| 1104249226 | Garden State Oral & Maxillofacial Surgery, LLC | Dentist | 1 Broadway, Suite 101, Elmwood Park, NJ 07407-1842 | 2014-01-24 |
| 1639431851 | My Weight Loss Center | Nutritionist | 1 Broadway, Suite 105, Elmwood Park, NJ 07407-1842 | 2012-06-13 |
| 1174833545 | Alex and Susan Cocoziello | Specialist | 1 Broadway, Suite 303, Elmwood Park, NJ 07407 | 2010-10-19 |
| 1275707259 | Leonid A Portugeys | Dentist | 1 Broadway, 4c, Elmwood Park, NJ 07407-1842 | 2008-04-21 |
| 1619167293 | Sheldon H. Greenspan | Dentist | 1 Broadway, Suite 104, Elmwood Park, NJ 07407-1842 | 2007-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
| 1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
| 1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
| 1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
| 1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1558571828 | Yan Gao Fan | Pathology | 481 Edward H Ross Drive, Elmwood Park, NJ 07407 | 2007-05-23 |
| Find all providers in zip 07407 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679757215 | Precision Pain Management Center PC | Specialist | 303 Molnar Dr, 1st Floor, Elmwood Park, NJ 07407-3213 | 2007-12-18 |
| 1912050097 | Nicole Joy Hroma | Specialist | 2223 N 77th Ave, Elmwood Park, IL 60707-3015 | 2007-01-19 |
| 1972673150 | Terry L Stanek | Specialist | 7814 W North Ave, Elmwood Park, IL 60707-3536 | 2006-11-08 |
| 1023491990 | Absolute Health Care, P.C. | Specialist | 1 Broadway, Suite 301, Elmwood Park, NJ 07407-1842 | 2015-07-09 |
| 1386027266 | Broadway Wellness, P.C. | Specialist | 1 Broadway, Suite 301, Elmwood Park, NJ 07407-1842 | 2015-07-09 |
| 1174833545 | Alex and Susan Cocoziello | Specialist | 1 Broadway, Suite 303, Elmwood Park, NJ 07407 | 2010-10-19 |
| 1639305634 | Heather E Manspeizer | Specialist | 619 River Dr, Elmwood Park, NJ 07407-1317 | 2009-06-04 |
| 1740316504 | Rizzo Medical Associates LLC | Specialist | 1 Broadway, Suite 105, Elmwood Park, NJ 07407-1842 | 2007-02-26 |
| 1295873255 | Pediatric Cardiology Associates PC | Specialist | 1 Broadway, Suite 203, Elmwood Park, NJ 07407-1844 | 2007-02-02 |
| 1740335405 | Dorothy Myridakis | Specialist | 1 Broadway, Suite 203, Elmwood Park, NJ 07407-1842 | 2007-01-24 |
| Find all providers in ELMWOOD PARK | ||||
| City | ELMWOOD PARK |
| Zip Code | 07407 |
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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.