Active NPI
Andrew Cohen
- Pediatrics Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD20702
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 643-0707
- NPI assigned
- Mar 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD20702 | RI | Primary |
| Pediatrics Physician | 208000000X | 1018685 | MA |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
110 Elm St
Providence, RI 02903-4626
Other practice location 1
593 Eddy St.
Claverick 2
Providence, RI 02903
Phone (401) 444-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Tufts University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Emergency Medicine | Pediatrics | Current | Accepting new patients |
| Massachusetts General Physicians Organization Inc | Pediatrics | Current | Accepting new patients |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Pediatrics | Current | Accepting new patients |
| General Hospital Corp | Current | Accepting new patients | |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Pediatrics | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
593 Eddy St
Providence, RI 02903
593 Eddy St
#2
Providence, RI 02903
Phone (401) 519-1604
55 Claverick St
Fl 2
Providence, RI 02903
110 Elm St
Providence, RI 02903
Phone (401) 443-4992
Interoperability endpoints
- cohen.andrew.mgh@direct.partners.masshiway.net
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
Pediatrics
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Pediatrics
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Surgery Physician
- Providence, RI
- NPI 1174484216
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1396321071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ELM ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-643-0707"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy St.",
"address_2": "Claverick 2",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "02903",
"country_code": "US",
"telephone_number": "401-444-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-22",
"last_updated": "2025-07-16",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD20702",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "1018685",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.