Marcel Coker, CRPA, CASAC-T

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

329 N Salina St
Syracuse, NY 13203-1755

Phone

(315) 434-5333

NPI assigned

Apr 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1174375455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 POLK ST APT 4",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241348",
            "telephone_number": "315-373-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031755",
            "telephone_number": "315-434-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "MARCEL",
        "credential": "CRPA, CASAC-T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyle Cohen, RN
• Paul S Cohen, MD
• Rishana Sklaroff Cohen, M.D.
• Stephen Mark Cohen, M.D.
• Willard - Cohen, M.D.
• Viccarra Rachel Coker, LPN
• Debra Anne Colacicco Wilson, MS OTR
• Mark J Colaneri, P.A.
• Pamela Colangelo, OTR
• Cesar A Colasante-Garrido, M.D.

• Peer Specialist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.