Individual provider Active NPI

Merritt Harold Cohen, MD

  • Urology Physician
  • Millburn, NJ
National Provider Identifier
1407867674
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MA01882800 Issued in NJ
Practice address
225 Millburn Ave
Suite 304
Millburn, NJ 07041-1737
Phone
(973) 218-9400
Fax
(973) 218-9420
NPI assigned
Aug 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Urology Physician 208800000X MA01882800 NJ Primary

Addresses

Primary practice location

225 Millburn Ave
Suite 304
Millburn, NJ 07041-1737

Mailing address

225 Millburn Ave
Suite 304
Millburn, NJ 07041-1737
Phone (973) 218-9400

Other identifiers 1

IdentifierTypeStateIssuer
1938401MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA01882800NJMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: mcohen@nj-urology.gwaydirect.com

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407867674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 304",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-9400",
            "fax_number": "973-218-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 304",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-9400",
            "fax_number": "973-218-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MERRITT",
        "middle_name": "HAROLD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA01882800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1938401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.