Individual provider Active NPI

Mathew Cohen, D.D.S.

  • Dentist
  • Manalapan, NJ
National Provider Identifier
1023226214
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI00752000 Issued in NJ
Practice address
6 Yorktowne Dr
Manalapan, NJ 07726-3561
Phone
(732) 446-7771
Fax
(732) 446-3013
NPI assigned
May 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI00752000 NJ Primary

Addresses

Primary practice location

6 Yorktowne Dr
Manalapan, NJ 07726-3561

Mailing address

6 Yorktowne Dr
Manalapan, NJ 07726-3561
Phone (732) 446-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212000863 NJ Order and Referring Only - DentistPractitioner - Dentist 7618257809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023226214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 YORKTOWNE DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263561",
            "telephone_number": "732-446-7771",
            "fax_number": "732-446-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 YORKTOWNE DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263561",
            "telephone_number": "732-446-7771",
            "fax_number": "732-446-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI00752000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.