Active NPI
Mila Cohen, D.D.S.
- Pediatric Dentistry
- Jersey City, NJ
National Provider Identifier
1093005167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 056318
- Practice address
- 255 Brunswick St
Suite 5
Jersey City, NJ 07302-1589 - Phone
- (917) 756-2889
- NPI assigned
- Apr 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 056318 | NY | Primary |
| Pediatric Dentistry | 1223P0221X | 22DI02591000 | NJ |
Addresses
Primary practice location
255 Brunswick St
Suite 5
Jersey City, NJ 07302-1589
Mailing address
255 Brunswick St
Suite 5
Jersey City, NJ 07302-1589
Phone (917) 756-2889
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 |
|---|---|---|---|
| 22DI02591000 | NJ | MD | Pediatric Dentist |
| 056318 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1093005167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 BRUNSWICK ST",
"address_2": "SUITE 5",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073021589",
"telephone_number": "917-756-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 BRUNSWICK ST",
"address_2": "SUITE 5",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073021589",
"telephone_number": "917-756-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MILA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "056318",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02591000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.