Provider Demographics
NPI:1770553042
Name:COZAMANIS, STEVE G (DO)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:G
Last Name:COZAMANIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 W BAY AVE
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-1289
Mailing Address - Country:US
Mailing Address - Phone:609-994-5688
Mailing Address - Fax:609-607-4025
Practice Address - Street 1:912 W BAY AVE
Practice Address - Street 2:
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-1289
Practice Address - Country:US
Practice Address - Phone:609-994-5688
Practice Address - Fax:609-607-4025
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-0005697207R00000X
NJ25MB09098500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000999203Medicaid
DE0000999203Medicaid
DE004099H10Medicare ID - Type Unspecified
NJ262413Medicare PIN
DE003296I23Medicare PIN