Active NPIIndividual provider

Keith D Cook, DPM

Podiatrist, Foot & Ankle Surgery in Newark, New Jersey

NPI Number1235243106
Practice location
140 Bergen St, Level E, Newark, NJ 07103-2425
Fax
973-972-3162
Last updated
May 31, 2022

Keith D. Cook is a Podiatrist, Foot & Ankle Surgery based in Newark, NJ. Keith D. Cook practices in Newark, NJ and has the professional credentials of DPM. The NPI Number for Keith D. Cook is 1235243106 and holds a License No. 25MD00254100 (NJ). The current practice location address for Keith D. Cook is 140 Bergen St, Level E, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-8320 and via fax at 973-972-3162.

Provider Profile Details

NPI Number
1235243106
Provider Name
Keith D. Cook
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
140 Bergen St, Level E, Newark, NJ 07103-2425
Phone Number
973-972-8320
Fax Number
973-972-3162
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2006
Last Update Date
May 31, 2022
Certification Date
May 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Bergen St
Level E
Newark, NJ 07103-2425
City
Newark
Zip
07103-2425
Phone Number
973-972-8320
Fax Number
973-972-3162
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000
City
Newark
State
NJ
Zip
07107-3000

License Information

License Number
25MD00254100
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keith D Cook, DPM?

The NPI number of Keith D Cook, DPM is 1235243106. It was assigned on August 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Keith D Cook, DPM?

Keith D Cook, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00254100.

Where does Keith D Cook, DPM practice?

The practice location is 140 Bergen St, Level E, Newark, NJ 07103-2425. The office can be reached at 973-972-8320 (phone) or 973-972-3162 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235243106 directly on the NPPES registry website.

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