Individual provider Active NPI

Phillip Marc Cohen, DPM

  • Podiatrist
  • Bel Air, MD
National Provider Identifier
1104912344
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1078 Issued in MD
Practice address
2208 Old Emmorton Rd
Suite 101
Bel Air, MD 21015-8909
Phone
(410) 515-7800
Fax
(410) 515-7805
NPI assigned
Oct 5, 2006
Last updated
Mar 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1078 MD Primary

Addresses

Primary practice location

2208 Old Emmorton Rd
Suite 101
Bel Air, MD 21015-8909

Mailing address

2208 Old Emmorton Rd
Suite 101
Bel Air, MD 21015-8909
Phone (410) 515-7800

Other identifiers 6

IdentifierTypeStateIssuer
097988100MedicaidMD
1134271505OtherMDNPI- GROUP
K603OtherMDMEDICARE PTAN
1104912344OtherMDNPI - INDIVIDUAL
K603OtherMDBLUE CROSS BLUE SHIELD OF MARYLAND
1104912344OtherMDNPI INDIVIDUAL PHILLIP COHEN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110119001081 MD Practitioner - Podiatry 5890808588 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates PAGroup PAC ID 3072599943, 18 clinicians
Jay Seidel DPM PA IncGroup PAC ID 2567680184, 5 clinicians

Practice addresses (Care Compare)

1 N Main St
Suite 1
Bel Air, MD 21014-3592
Phone (410) 879-1212

2208 Old Emmorton Rd
Suite 101
Bel Air, MD 21015-8909
Phone (410) 515-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.91 of 100Reported as individual
Quality
97.82
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue100
Removal of skin lesions18
Removal of nail tissue2386
Removal or shaving of skin growth1045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01078MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cohen & Norton P a Podiatrist CurrentSince Jan 1, 1991 Accepting new patients
Jay Seidel DPM PA Inc Podiatrist Current Accepting new patients
Jay Seidel DPM PA Inc CurrentSince Aug 1, 2025 Accepting new patients
Jay Seidel DPM PA Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

5508 Harford Rd
Baltimore, MD 21214
Phone (410) 426-5508

2208 Old Emmorton Rd
Bel Air, MD 21015
Phone (410) 515-1603

2208 Old Emmorton Rd
Ste 101
Bel Air, MD 21015
Phone (410) 426-5508

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1104912344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 OLD EMMORTON RD",
            "address_2": "SUITE 101",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210158909",
            "telephone_number": "410-515-7800",
            "fax_number": "410-515-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 OLD EMMORTON RD",
            "address_2": "SUITE 101",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210158909",
            "telephone_number": "410-515-7800",
            "fax_number": "410-515-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "PHILLIP",
        "middle_name": "MARC",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097988100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI- GROUP",
            "identifier": "1134271505",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K603",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  -   INDIVIDUAL",
            "identifier": "1104912344",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MARYLAND",
            "identifier": "K603",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  INDIVIDUAL  PHILLIP COHEN",
            "identifier": "1104912344",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.