Active NPI
Kenneth A. Cohen, MD
- Diagnostic Radiology Physician
- Phillipsburg, NJ
National Provider Identifier
1225089352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA04069700
- Practice address
- 185 Roseberry St
Phillipsburg, NJ 08865-1690 - Phone
- (610) 868-1100
- Fax
- (610) 868-1111
- NPI assigned
- May 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA04069700 | NJ | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD027842E | PA |
Addresses
Primary practice location
185 Roseberry St
Phillipsburg, NJ 08865-1690
Mailing address
95 Highland Ave 130
Bethlehem, PA 18017-9483
Phone (610) 868-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA040697 | Other | NJ | CDS |
| 2186101 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04069700 | NJ | MD | Diagnostic Radiology Physician |
| MD027842E | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physician Assoc, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Quakertown, PA
- NPI 1134395965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1225089352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 HIGHLAND AVE 130",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180179483",
"telephone_number": "610-868-1100",
"fax_number": "610-868-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 ROSEBERRY ST",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651690",
"telephone_number": "610-868-1100",
"fax_number": "610-868-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "KENNETH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA04069700",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD027842E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "MA040697",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2186101",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.