Individual provider Active NPI

Moshe Cohn, MD

  • Pediatric Hospice and Palliative Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1033406400
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X
License
25MA09721900 Issued in NJ
Practice address
175 Cedar LN Ste 5
Teaneck, NJ 07666-4315
Phone
(201) 509-2932
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hospice and Palliative Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080H0002X 25MA09721900 NJ Primary

Addresses

Primary practice location

175 Cedar LN Ste 5
Teaneck, NJ 07666-4315

Mailing address

501 Rutland Ave
Teaneck, NJ 07666-2925
Phone (917) 952-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, GU, KS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160120000397 NJ Practitioner - Pediatric Medicine 9537462999 Reassigns benefits to 1 organization
I20161011000445 NY Practitioner - Pediatric Medicine 9537462999 Reassigns benefits to 1 organization
I20250121003443 GU Practitioner - Other (Physician)Practitioner - Pediatric Medicine 9537462999 Reassigns benefits to 1 organization
I20250801003708 KS Practitioner - Hospice/Palliative Care 9537462999 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09721900NJMDPediatric Hospice and Palliative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
New York University Single Specialty CurrentSince Oct 1, 2016 Accepting new patients
New York University CurrentSince Oct 1, 2016 Accepting new patients
Guam Memorial Hospital Single Specialty CurrentSince Nov 16, 2024 Accepting new patients
Equipoise Healthcare, LLC Single Specialty CurrentSince May 30, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Nov 16, 2024 Accepting new patients
The Valley Hospital Inc. Past Accepting new patients

Locations

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

8110 E 32nd St N
Ste 170
Wichita, KS 67226
Phone (316) 263-5889

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

Interoperability endpoints

  • Direct secure messaging: mcohn674134@nychhc.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1033406400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 RUTLAND AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662925",
            "telephone_number": "917-952-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CEDAR LN STE 5",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664315",
            "telephone_number": "201-509-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "MOSHE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MA09721900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.