Active NPI
Jeremy L Cohen, DPT, APN
- Family Nurse Practitioner
- Bloomfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ15491000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01552800 | NJ | MD | Physical Therapist |
| 036684 | NY | MD | Physical Therapist |
| 26NJ15491000 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Medicine & Rehabilitation Center, PA | Physical Therapist | Current | 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.
-
- Physical Therapist
- Branchburg, NJ
- NPI 1962444554
NJ, Physical Therapist
-
- Specialist
- Branchburg, NJ
- NPI 1316266463
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.