Organization Active NPI

Joshua R Cohen PHD

  • Clinical Neuropsychologist
  • Oceanport, NJ
National Provider Identifier
1003358110
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
JOSHUA R COHEN PHD
Practice address
1000 Sanger Ave Ste 17
Oceanport, NJ 07757-1241
Phone
(732) 200-2570
Fax
(732) 455-9596
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua R Cohen PHD LLC, PH.D.
Title
Managing Member
Phone
(732) 530-9330

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1000 Sanger Ave Ste 17
Oceanport, NJ 07757-1241

Mailing address

1000 Sanger Ave Ste 17
Oceanport, NJ 07757-1241
Phone (732) 200-2570

Other names 1

  • Joshua R Cohen PhD LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170117001340 NJ Part B Supplier - Clinic/Group Practice 3577845130 Receives reassigned benefits from 3 practitioners
Practice locations: Oceanport, NJ

National Provider Directory

National Provider Directory

Locations

425 Jack Martin Blvd
Ste 8A
Brick, NJ 08724
Phone (732) 530-9330

200 Atlantic Ave
Ste H
Manasquan, NJ 08736
Phone (732) 530-9330

1000 Sanger Ave
Ste 17
Oceanport, NJ 07757
Phone (732) 200-2570

1000 Sanger Ave
#17
Oceanport, NJ 07757
Phone (732) 200-2570

165 State Route 35
Ste 5
Red Bank, NJ 07701
Phone (732) 530-9330

106 Apple St
Ste 205
Tinton Falls, NJ 07724
Phone (732) 530-9330

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1003358110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SANGER AVE STE 17",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571241",
            "telephone_number": "732-200-2570",
            "fax_number": "732-455-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SANGER AVE STE 17",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571241",
            "telephone_number": "732-200-2570",
            "fax_number": "732-455-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA R COHEN PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "LLC",
        "authorized_official_first_name": "JOSHUA R COHEN",
        "authorized_official_middle_name": "PHD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-530-9330",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshua R Cohen PhD LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Joshua R Cohen PhD LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oceanport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.