Individual provider Active NPI

Justin H. Cohen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monroe, NJ
National Provider Identifier
1346671591
Registry record updated Jul 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00319600 Issued in NJ
Practice address
1600 Perrineville Rd Ste 24
Monroe, NJ 08831-4925
Phone
(609) 655-8200
NPI assigned
Dec 12, 2013
Last updated
Jul 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006505 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00319600 NJ Primary

Addresses

Primary practice location

1600 Perrineville Rd Ste 24
Monroe, NJ 08831-4925

Mailing address

1600 Perrineville Rd Ste 24
Monroe, NJ 08831-4925
Phone (609) 655-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140627000259 NJ Practitioner - Podiatry 8426273848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 Perrineville Rd
Suite 24
Monroe, NJ 08831-4925
Phone (609) 655-8200

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as individual
Quality
78.73
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue2128
Removal or shaving of skin growth804
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006505NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Foot and Ankle, LLC Foot & Ankle Surgery CurrentSince Jun 1, 2015 Accepting new patients
Ima Urgent Care Past Accepting new patients

Locations

1600 Perrineville Rd
Ste 24
Monroe Township, NJ 08831
Phone (609) 655-8200

Interoperability endpoints

  • Direct secure messaging: concordiafootandanklellc@148090.advancedmd-direct.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436659200000",
    "number": "1346671591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PERRINEVILLE RD STE 24",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088314925",
            "telephone_number": "609-655-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PERRINEVILLE RD STE 24",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088314925",
            "telephone_number": "609-655-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JUSTIN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2015-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006505",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00319600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NJ

Sources for this page

Verify at the official NPI Registry.