Individual provider Active NPI

Eric R Cohen, MD

  • Diagnostic Radiology Physician
  • Farmington, CT
National Provider Identifier
1396984159
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
068199 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030
Phone
(860) 679-2784
Fax
(860) 679-3145
NPI assigned
Feb 18, 2009
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.132528 OH
Vascular & Interventional Radiology Physician 2085R0204X 35.132528 OH
Diagnostic Radiology Physician 2085R0202X 068199 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030

Mailing address

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-2502

Other practice location 1

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-2502

Other identifiers 1

IdentifierTypeStateIssuer
0241791MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecohen69415@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210111001044 PA Practitioner - Diagnostic Radiology 8527284611 Reassigns benefits to 1 organization
I20210730001897 CT Practitioner - NeurologyPractitioner - Diagnostic Radiology 8527284611 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

263 Farmington Ave
Farmington, CT 06030-8082

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068199CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 1, 2021 Accepting new patients
University of Connecticut Health Center CurrentSince Jun 27, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 1, 2021 Accepting new patients
State of Connecticut CurrentSince Oct 5, 2025 Accepting new patients
State of Connecticut CurrentSince Oct 5, 2025 Accepting new patients
University of Connecticut Health Center Diagnostic Radiology CurrentSince Jun 27, 2023 Accepting new patients
Cambria Somerset Radiology & Nuclear Medicine Group, Inc. Diagnostic Radiology CurrentSince Dec 3, 2020 Accepting new patients
Uconn Health Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

5 Munson Rd
Ste 110
Farmington, CT 06032
Phone (860) 679-2800

1000 Asylum Ave
Ste 2112
Hartford, CT 06105
Phone (860) 714-4749

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

850 Bolton Rd
Storrs Mansfield, CT 06269
Phone (860) 486-2629

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

239 Main St
Ste 440
Johnstown, PA 15901

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1396984159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-2502",
            "fax_number": "330-480-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06030",
            "telephone_number": "860-679-2784",
            "fax_number": "860-679-3145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041006",
            "country_code": "US",
            "telephone_number": "330-480-2502",
            "fax_number": "330-480-8609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ERIC",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.132528",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35.132528",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "068199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241791",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecohen69415@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.