Active NPI
Phuli Lewis Cohan, MD
- Family Medicine Physician
- Newton Center, MA
National Provider Identifier
1184839870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 77025
- Practice address
- 538 Ward St
Newton Center, MA 02459-1136 - Phone
- (617) 527-8340
- Fax
- (617) 795-0292
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 77025 | MA | Primary |
Addresses
Primary practice location
538 Ward St
Newton Center, MA 02459-1136
Mailing address
538 Ward St
Newton Center, MA 02459
Phone (617) 527-8340
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77025 | MA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1184839870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 WARD ST",
"city": "NEWTON CENTER",
"state": "MA",
"postal_code": "02459",
"telephone_number": "617-527-8340",
"fax_number": "617-795-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 WARD ST",
"city": "NEWTON CENTER",
"state": "MA",
"postal_code": "024591136",
"telephone_number": "617-527-8340",
"fax_number": "617-795-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHAN",
"first_name": "PHULI",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "77025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.