Active NPI
Todd Ian Cohen, DMD
- General Practice Dentistry
- Magnolia, NJ
National Provider Identifier
1164511325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17954
- Practice address
- 402 S White Horse Pike
Magnolia, NJ 08049-1061 - Phone
- (856) 566-9700
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17954 | NJ | Primary |
| General Practice Dentistry | 1223G0001X | DS027804L | PA | |
| Dentist | 122300000X | 22DI01795400 | NJ |
Addresses
Primary practice location
402 S White Horse Pike
Magnolia, NJ 08049-1061
Mailing address
419 Downs Dr
Cherry Hill, NJ 08003-3414
Phone (856) 889-9423
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 |
|---|---|---|---|
| 22DI01795400 | NJ | MD | Dentist |
| 17954 | NJ | MD | General Practice Dentistry |
| DS027804L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brilliant Smiles Dental Group - Magnolia LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Magnolia, NJ
- NPI 1538455324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1164511325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 DOWNS DR",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080033414",
"telephone_number": "856-889-9423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S WHITE HORSE PIKE",
"city": "MAGNOLIA",
"state": "NJ",
"postal_code": "080491061",
"telephone_number": "856-566-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "TODD",
"middle_name": "IAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "17954",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS027804L",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI01795400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.