Eric J Cohen DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5099 Issued in FL

Legal business name

ERIC J COHEN DC PA

Doing business as

Active Family Wellness Center

Practice address

6620 Lake Worth Rd
Suite C
Lake Worth, FL 33467-1518

Phone

(561) 641-1111

Fax

(561) 296-0336

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Laura B Burke

Title

MCC

Phone

(954) 563-4472

Specialties & licenses 1

Addresses

Other names 1

• ACTIVE FAMILY WELLNESS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric J Cohen, DC

  • Chiropractor
  • Lake Worth, FL
  • NPI 1457426793
  Medicare reassignment NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1275608515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 LAKE WORTH RD",
            "address_2": "SUITE C",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671518",
            "telephone_number": "561-641-1111",
            "fax_number": "561-296-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 LAKE WORTH RD",
            "address_2": "SUITE C",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671518",
            "telephone_number": "561-641-1111",
            "fax_number": "561-296-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J COHEN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MCC",
        "authorized_official_telephone_number": "954-563-4472"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE FAMILY WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Engelhardt, DMD
• Jennifer A English, RPT
• Rocio Enriquez Rodriguez III
• Erin Lawson PSYD
• Joseph F. Erler, COTA
• Karen D Erwin, MA
• Juliana Escamilla
• Damiani Escobar Cordovas

• Chiropractor in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.