| 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 | 27 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 | 76 |
| 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 |
New Jersey Podiatric Physicians And Surgeons Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 467 Mount Prospect Ave, Newark, NJ 07104 Phone: 973-483-2800 Fax: 973-483-9933 | |
Malika Reddy, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 150 Bergen Street, Podiatry Sevice Rm G-142, Newark, NJ 07103 Phone: 973-972-5088 | |
Dr. Vikas S. Bawa, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1060 Broad St, Lower Level Medical Office, Newark, NJ 07102 Phone: 973-642-6500 Fax: 973-741-2700 | |
Medical Foot Care Center, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 500 Orange St, Suite# 301, Newark, NJ 07107 Phone: 973-485-6799 Fax: 973-485-6711 | |
Omar Shah, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-5000 | |
Jehanzaib Khan, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-5080 |