Active NPI
Richard Cohen, DC
- Sports Physician Chiropractor
- Kingston, PA
National Provider Identifier
1457462145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC003001L
- Practice address
- 417 Market St
Kingston, PA 18704-5418 - Phone
- (570) 283-1011
- Fax
- (570) 283-1465
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC003001L | PA | Primary |
| Orthopedic Chiropractor | 111NX0800X | DC003001L | PA | |
| Rehabilitation Chiropractor | 111NR0400X | DC003001L | PA |
Addresses
Primary practice location
417 Market St
Kingston, PA 18704-5418
Mailing address
417 Market St
Kingston, PA 18704-5418
Phone (570) 283-1011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141077 | Other | PA | BLUE CROSS BLUE SHIELD |
| 0011084750002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 Market St
Kingston, PA 18704-5418
Phone (570) 283-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cohen & Haydu Chiropractic Clinic, PC | Current | Accepting new patients |
Locations
417 Market St
Kingston, PA 18704
Phone (570) 283-1011
Organizations & group practices 2
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.
-
- Chiropractor
- Kingston, PA
- NPI 1720263486
-
- Orthopedic Chiropractor
- Kingston, PA
- NPI 1831232107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1457462145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 MARKET ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045418",
"telephone_number": "570-283-1011",
"fax_number": "570-283-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 MARKET ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045418",
"telephone_number": "570-283-1011",
"fax_number": "570-283-1465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "PA",
"license": "DC003001L",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "PA",
"license": "DC003001L",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC003001L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "141077",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011084750002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, PA
- Kara Munley Clemson, PT, DPT
- Clnical Neurodiagnostics
- Alycia Marie Coar
- Cohen & Haydu Chiropractic Clinic, PC
- Cohen Chiropractic Clinic, P.C.
- Christa A Colaizzi, DMD
- Aprile B Coleman, DPT
- Commonwealth Physician Network LLC
- Compass Home Health & Rehab, LLC
- Compassionate Home Care of Northeastern PA, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.