Gregory Ezra Cohen, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040024 Issued in PA

Practice address

929 Society Hill Blvd
Cherry Hill, NJ 08003-2416

Phone

(856) 905-9621

NPI assigned

Jun 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1033523352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SOCIETY HILL BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032416",
            "telephone_number": "856-905-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SOCIETY HILL BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032416",
            "telephone_number": "856-905-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "GREGORY",
        "middle_name": "EZRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Cohen, PT, DPT
• Andrew G Cohen, M.D.
• Beverly Rose Cohen, MS, CCC-SLP
• Carolyn Cohen, LMFT
• Corinthia Cohen, APN
• Herbert L. Cohen, D.D.S.
• Joy Cohen, PSY.D.
• Keren Cohen
• Larry W Cohen, D.O.
• Lisa R. Cohen, SPEECH LANGUGE PATHO

• General Practice Dentistry in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.