Individual provider Active NPI

Richard Bennett Cohen, DPM

  • Podiatrist
  • Phila, PA
National Provider Identifier
1437138476
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001948L Issued in PA
Practice address
1304 Rhawn St
Phila, PA 19111-2870
Phone
(215) 742-1225
NPI assigned
Jan 10, 2006
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001948L PA Primary

Addresses

Primary practice location

1304 Rhawn St
Phila, PA 19111-2870

Mailing address

1304 Rhawn St
Philadelphia, PA 19111-2870
Phone (215) 743-1858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100430000159 PA Practitioner - Podiatry 6800825969 Practice locations: Jenkintown, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC001948LPAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1437138476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112870",
            "telephone_number": "215-743-1858",
            "fax_number": "215-742-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 RHAWN ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112870",
            "telephone_number": "215-742-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RICHARD",
        "middle_name": "BENNETT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001948L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.