Organization Active NPI

Cohn Medical Group Inc

  • Physical Medicine & Rehabilitation Physician
  • Berkeley, CA
National Provider Identifier
1114275112
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A110257 Issued in CA
Legal business name
COHN MEDICAL GROUP INC
Practice address
2001 Dwight Way RM 2350
Berkeley, CA 94704-2608
Phone
(510) 204-4738
Fax
(510) 204-5892
NPI assigned
Aug 22, 2012
Last updated
Aug 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2012

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

Authorized official

Name
Ms. Jennifer Amica Cohn, M.D.
Title
Owner
Phone
(510) 964-0458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X A110257 CA Primary

Addresses

Primary practice location

2001 Dwight Way RM 2350
Berkeley, CA 94704-2608

Mailing address

PO Box 1460
Suisun City, CA 94585-4460
Phone (510) 964-0458

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1114275112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945854460",
            "telephone_number": "510-964-0458",
            "fax_number": "510-964-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 DWIGHT WAY RM 2350",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042608",
            "telephone_number": "510-204-4738",
            "fax_number": "510-204-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "AMICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-964-0458",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A110257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.