Keith D Cook, DPM | |
140 Bergen St, Level E, Newark, NJ 07103-2425 | |
(973) 972-8320 | |
(973) 972-3162 |
Full Name | Keith D Cook |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 26 Years |
Location | 140 Bergen St, Newark, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235243106 | NPI | - | NPPES |
9036903 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00254100 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The University Hospital | Newark, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Hospital | 5294636874 | 45 |
Provider Name | University Hospital |
---|---|
Provider Type | Part B Supplier - Hospital Department(s) |
Provider Identifiers | NPI Number: 1871190140 PECOS PAC ID: 5294636874 Enrollment ID: O20210608001055 |
Mailing Address | Practice Location Address |
---|---|
Keith D Cook, DPM 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: () - | Keith D Cook, DPM 140 Bergen St, Level E, Newark, NJ 07103-2425 Ph: (973) 972-8320 |
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