Stephen U Cohen, MD
Individual provider Active NPI Pediatrics Physician · Belen, NM
NPI 1023024775 · NPPES record last updated Oct 24, 2011
Key facts
- NPI
- 1023024775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 74138 (NM)
- Practice address
- 609 Christopher Dr
PMG Belen
Belen, NM 87002-2615 - Phone
- (505) 864-5454
- Fax
- (505) 864-5450
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74138 | NM | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 74138 | NM | Yes |
Addresses
Primary practice location
609 Christopher Dr
PMG Belen
Belen, NM 87002-2615
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396 | Medicaid | NM |
Other providers in Belen, NM
- Peggy J Chavez
- Wilfred Chavez
- Alan Chernev
- Amy Renee Clay
- Jeanne Clay
- Anthony Cohn
- Charles Hamilton Combs
- Conquistador Dental, LLC
- Diamond Monique Contreras
- Jeremy Cordova
All providers in Belen, NM · Pediatrics Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.