Organization Active NPI

Bart Cohen P.a.

  • Podiatrist
  • Pompton Lakes, NJ
National Provider Identifier
1003932831
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00158700 Issued in NJ
Legal business name
BART COHEN P.A.
Practice address
27 Colfax Ave
Pompton Lakes, NJ 07442-1709
Phone
(973) 835-2794
Fax
(973) 839-7308
NPI assigned
Mar 22, 2007
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Bart Cohen, DPMNPI 1386745990
Title
President
Phone
(973) 835-2794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00158700 NJ Primary

Addresses

Primary practice location

27 Colfax Ave
Pompton Lakes, NJ 07442-1709

Mailing address

27 Colfax Ave
Pompton Lakes, NJ 07442-1709
Phone (973) 835-2794

Other identifiers 1

IdentifierTypeStateIssuer
2057701MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930056578 NJ DME Supplier - Physician - Podiatry 2769695055 Practice locations: Pompton Lakes, NJ
O20110401000502 NJ Part B Supplier - Clinic/Group Practice 2769695055 Receives reassigned benefits from 2 practitioners
Practice locations: Pompton Lakes, NJ

National Provider Directory

National Provider Directory

Locations

27 Colfax Ave
Pompton Lakes, NJ 07442
Phone (973) 835-2794

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1003932831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COLFAX AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421709",
            "telephone_number": "973-835-2794",
            "fax_number": "973-839-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COLFAX AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421709",
            "telephone_number": "973-835-2794",
            "fax_number": "973-839-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BART COHEN P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-835-2794",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00158700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2057701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.