Active NPI
Theresa E Cohen, PA, RN
- Physician Assistant
- New Haven, CT
National Provider Identifier
1083633622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001664
- Practice address
- 800 Howard Ave
Yale Physicians BLDG
New Haven, CT 06519-1369 - Phone
- (203) 785-2140
- Fax
- (203) 785-6414
- NPI assigned
- Jul 18, 2006
- Last updated
- Nov 27, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001664 | CT | Primary |
Addresses
Primary practice location
800 Howard Ave
Yale Physicians BLDG
New Haven, CT 06519-1369
Mailing address
960 Main St
Branford, CT 06405-3730
Phone (203) 488-6358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
354 Sawmill Rd
West Haven, CT 06516-4005
Phone (203) 896-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Family Medicine LLC | Past | Accepting new patients | |
| Healthnation PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bridgeport, CT
- NPI 1548642283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1083633622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053730",
"telephone_number": "203-488-6358",
"fax_number": "203-481-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HOWARD AVE",
"address_2": "YALE PHYSICIANS BLDG",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191369",
"telephone_number": "203-785-2140",
"fax_number": "203-785-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "THERESA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PA, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.