Individual provider Active NPI

Patricia Ann Cohen, M.A., C.C.C.

  • Assistive Technology Supplier Audiologist
  • Paoli, PA
National Provider Identifier
1457409336
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X
License
AT000887L Issued in PA
Practice address
7 W Central Ave
Suite 1
Paoli, PA 19301-1378
Phone
(610) 408-9250
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Supplier Audiologist 231HA2500X AT000887L PA Primary

Addresses

Primary practice location

7 W Central Ave
Suite 1
Paoli, PA 19301-1378

Mailing address

7 W Central Ave
Suite 1
Paoli, PA 19301-1378
Phone (610) 408-9250

Other identifiers 4

IdentifierTypeStateIssuer
212088OtherPAPERSONAL CHOICE
CO212088OtherPABLUE SHIELD
25112829OtherPAAETNA
0719149000OtherPAKEYSTONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000230 PA Practitioner - Qualified Audiologist 1759458367 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AT000887LPAMDAssistive Technology Supplier Audiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Goyne & Associates, LLC CurrentSince Apr 30, 2024 Accepting new patients

Locations

301 Lindenwood Dr
Ste 206
Malvern, PA 19355
Phone (610) 408-9250

230 Sugartown Rd
Ste 10
Wayne, PA 19087
Phone (610) 688-6003

790 E Market St
Ste 180
West Chester, PA 19382
Phone (610) 431-2411

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457409336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011378",
            "telephone_number": "610-408-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011378",
            "telephone_number": "610-408-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A., C.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "PA",
            "license": "AT000887L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "212088",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "CO212088",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "25112829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0719149000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.