Provider Demographics
NPI:1053344077
Name:COCOZIELLO, RAMIN BARRY (MD)
Entity type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:BARRY
Last Name:COCOZIELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CHRISTOPHER PL
Mailing Address - Street 2:
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-2903
Mailing Address - Country:US
Mailing Address - Phone:201-794-0910
Mailing Address - Fax:201-794-0923
Practice Address - Street 1:12-15 BROADWAY
Practice Address - Street 2:SUITE E
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2031
Practice Address - Country:US
Practice Address - Phone:201-794-0910
Practice Address - Fax:201-794-2164
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA061851174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01000035500OtherAMERICHOICE
NJ1042204OtherHORIZON NJ HEALTH
NJ537197OtherAETNA
NJ0809342000OtherAMERIHEALTH
NJ3057336007OtherCIGNA
NJ0201743OtherGHI
NJP394261OtherOXFORD
NJ12603OtherUHP
NJ0K1480OtherHEALTH NET
NJ14138OtherAMERIGROUP
NJ6564101Medicaid
NJ1042204OtherHORIZON NJ HEALTH
NJ784420Medicare PIN