Individual provider Active NPI

Jeremy L Cohen, DPT, APN

  • Family Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1174956593
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15491000 Issued in NJ
Practice address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone
(877) 532-7837
NPI assigned
Aug 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ15491000 NJ
Family Nurse Practitioner 363LF0000X 26NJ15491000 NJ Primary
Physical Therapist 225100000X 40QA01552800 NJ
Physical Therapist 225100000X 036684 NY

Addresses

Primary practice location

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141031000195 NJ Practitioner - Physical Therapist in Private Practice 3971739459 Reassigns benefits to 1 organization
I20260617000139 NJ Practitioner - Nurse Practitioner 3971739459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Natural Medicine and Rehabilitation Center, PA 8 clinicians

Practice addresses (Care Compare)

399 Campus Dr
Suite 110
Somerset, NJ 08873-1168
Phone (908) 252-0242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01552800NJMDPhysical Therapist
036684NYMDPhysical Therapist
26NJ15491000NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Medicine & Rehabilitation Center, PA Physical Therapist CurrentSince Jun 23, 2014 Accepting new patients
Natural Medicine & Rehabilitation Past Accepting new patients

Locations

3322 US Highway 22 W
Ste 102
Branchburg, NJ 08876
Phone (908) 252-0242

10 W End Ct
Fl 2
Long Branch, NJ 07740
Phone (732) 222-7799

399 Campus Dr
Ste 110
Somerset, NJ 08873
Phone (908) 252-0242

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1174956593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JEREMY",
        "middle_name": "L",
        "credential": "DPT, APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15491000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15491000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01552800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.