Michael Martin Cohen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD-020509-E Issued in PA

Practice address

1 Belmont Ave
Suite # 620 GSB Building
Bala Cynwyd, PA 19004-1617

Phone

(610) 664-3888

Fax

(610) 664-5254

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Body Rebuilders, P.C.

  • Physical Therapist
  • Bala Cynwyd, PA
  • NPI 1255400081
  NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1194764274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE",
            "address_2": "SUITE # 620 GSB BUILDING",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041617",
            "telephone_number": "610-664-3888",
            "fax_number": "610-664-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE",
            "address_2": "SUITE # 620 GSB BUILDING",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041617",
            "telephone_number": "610-664-3888",
            "fax_number": "610-664-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAEL",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-020509-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Specialty Associates
• Clinical Specialty Associates
• Clinical Specialty Associates
• Clinical Specialty Associates
• Deborah Luz Co, M.D.
• Daniel Robert Cohn, PSY.D., M.S., M.A.
• Tisa Coleman, B.S., MHS, LBSC
• College Cardiology Associates, LTD
• Victoria Colona, LPC, NCC, CAADC
• Comfort and Care Home Care Services LLC

• All providers in Bala Cynwyd, PA
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.