Active NPI
Ian M Cohen, MD
- Obstetrics & Gynecology Physician
- Waterbury, CT
National Provider Identifier
1437167210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 018170
- Practice address
- 140 Grandview Ave
Suite 202
Waterbury, CT 06708-2505 - Phone
- (203) 755-2344
- Fax
- (203) 573-8166
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 018170 | CT | Primary |
Addresses
Primary practice location
140 Grandview Ave
Suite 202
Waterbury, CT 06708-2505
Mailing address
140 Grandview Ave
Suite 202
Waterbury, CT 06708-2505
Phone (203) 755-2344
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0228487 | Other | CT | CIGNA PROVIDER NUMBER |
| 128561 | Other | CT | WELLCARE PROVIDER # |
| 0740436 | Other | CT | UNITED HEALTHCARE |
| ORO791 | Other | CT | HEALTHNET PROVIDER # |
| 01008170CT01 | Other | CT | ANTHEM FAMILY PLAN NUMBER |
| 752412 | Other | CT | CONNECTICARE PROVIDER # |
| 010018170CT01 | Other | CT | ANTHEM PROVIDER NUMBER |
| NHP011 | Other | CT | OXFORD PROVIDER NUMBER |
| 83722 | Other | CT | US HEALTHCARE PROVIDER # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 018170 | CT | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437167210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 GRANDVIEW AVE",
"address_2": "SUITE 202",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082505",
"telephone_number": "203-755-2344",
"fax_number": "203-573-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 GRANDVIEW AVE",
"address_2": "SUITE 202",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082505",
"telephone_number": "203-755-2344",
"fax_number": "203-573-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "IAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "018170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "0228487",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE PROVIDER #",
"identifier": "128561",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0740436",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET PROVIDER #",
"identifier": "ORO791",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM FAMILY PLAN NUMBER",
"identifier": "01008170CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE PROVIDER #",
"identifier": "752412",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "010018170CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "NHP011",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE PROVIDER #",
"identifier": "83722",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
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.