Active NPI
Philip Simon Cohen, D.M.D.
- Prosthodontics
- Summit, NJ
National Provider Identifier
1023217122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 09564
- Practice address
- 7 Cedar St
Summit, NJ 07901-2574 - Phone
- (908) 277-3600
- Fax
- (908) 277-1291
- NPI assigned
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 09564 | NJ | Primary |
Addresses
Primary practice location
7 Cedar St
Summit, NJ 07901-2574
Mailing address
7 Cedar St
Summit, NJ 07901-2574
Phone (908) 277-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09564 | NJ | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1023217122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CEDAR ST",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012574",
"telephone_number": "908-277-3600",
"fax_number": "908-277-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CEDAR ST",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012574",
"telephone_number": "908-277-3600",
"fax_number": "908-277-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "PHILIP",
"middle_name": "SIMON",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "09564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.