NPIMap

Individual provider Active NPI

Jacob Franklin Cogen, MD

  • Family Medicine Physician
  • Pleasantville, NJ
National Provider Identifier
1295994853
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08626400 Issued in NJ
Practice address
22 N Franklin Blvd
2ND Floor
Pleasantville, NJ 08232-2547
Phone
(215) 481-2725
NPI assigned
Jun 8, 2008
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT189723 PA
Family Medicine Physician 207Q00000X 25MA08626400 NJ Primary

Addresses

Primary practice location

22 N Franklin Blvd
2ND Floor
Pleasantville, NJ 08232-2547

Mailing address

22 N Franklin Blvd
First Floor
Pleasantville, NJ 08232-2547
Phone (609) 272-9040

Other identifiers 1

IdentifierTypeStateIssuer
0215571MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091223000034 NJ Practitioner - Family Practice 6103966163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755

3700 New Jersey Ave
Wildwood, NJ 08260-6154
Phone (856) 451-4700

530 High St N
Millville, NJ 08332-3009
Phone (856) 451-4700

715 Delsea Dr N
Glassboro, NJ 08028-1435
Phone (856) 451-4700

75 W Red Bank Ave
Woodbury, NJ 08096-1694
Phone (856) 451-4700

785 W Sherman Ave
Vineland, NJ 08360-6913
Phone (856) 451-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT189723PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Sep 5, 2012 Accepting new patients
Community Health Care, Inc. Family Medicine CurrentSince Sep 5, 2012 Accepting new patients
Community Health Care, Inc. Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

785 W Sherman Ave
Vineland, NJ 08360

75 W Red Bank Ave
Woodbury, NJ 08096
Phone (856) 853-2055

Interoperability endpoints

  • Direct secure messaging: jacob.cogen.p1@direct.cchn.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1295994853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N FRANKLIN BLVD",
            "address_2": "FIRST FLOOR",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322547",
            "telephone_number": "609-272-9040",
            "fax_number": "609-272-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N FRANKLIN BLVD",
            "address_2": "2ND FLOOR",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322547",
            "telephone_number": "215-481-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGEN",
        "first_name": "JACOB",
        "middle_name": "FRANKLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-08",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT189723",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08626400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215571",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.