Individual provider Active NPI

Adam L Cohen, DC

  • Chiropractor
  • Edgewater, MD
National Provider Identifier
1336202233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01761 Issued in MD
Practice address
2770 Solomons Island Rd
Edgewater, MD 21037-1211
Phone
(410) 224-3387
Fax
(410) 224-3955
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01761 MD Primary

Addresses

Primary practice location

2770 Solomons Island Rd
Edgewater, MD 21037-1211

Mailing address

2770 Solomons Island Rd
Edgewater, MD 21037-1211
Phone (410) 224-3387

Other identifiers 4

IdentifierTypeStateIssuer
2141335OtherMDALLIANCE
T3590001OtherMDFED BCBS
6636OtherMDUNITED HEALTH CARE
68751801OtherMDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090219000632 MD Practitioner - Chiropractic 2668537911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Cohen and Cohen PartnershipGroup PAC ID 2365619442, 2 clinicians

Practice addresses (Care Compare)

2770 Solomons Island Rd
Edgewater, MD 21037-1211
Phone (410) 224-3387

423 Railroad Ave
Centreville, MD 21617-1170
Phone (410) 758-4480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01761MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cohen Practice Enterprise P.C. Chiropractor CurrentSince Nov 12, 2008 Accepting new patients
Dr. Richard C. Fidanza LLC Chiropractor CurrentSince Jan 5, 2019 Accepting new patients
Cohen & Cohen Partnership Chiropractor CurrentSince Jan 1, 1998 Accepting new patients

Locations

423 Railroad Ave
Centreville, MD 21617
Phone (410) 758-4480

2770 Solomons Island Rd
Edgewater, MD 21037
Phone (410) 224-3387

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336202233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371211",
            "telephone_number": "410-224-3387",
            "fax_number": "410-224-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371211",
            "telephone_number": "410-224-3387",
            "fax_number": "410-224-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ADAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "2141335",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BCBS",
            "identifier": "T3590001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6636",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "68751801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.