Active NPI
Sheldon Bernard Cohen, D.D.S.
- Endodontics
- Holmdel, NJ
National Provider Identifier
1477613107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 12465
- Practice address
- 721 N Beers St
Suite 2a
Holmdel, NJ 07733-1518 - Phone
- (732) 264-6868
- Fax
- (732) 264-8537
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 12465 | NJ | Primary |
Addresses
Primary practice location
721 N Beers St
Suite 2a
Holmdel, NJ 07733-1518
Mailing address
721 N Beers St
Suite 2a
Holmdel, NJ 07733-1518
Phone (732) 264-6868
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12465 | NJ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477613107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 N BEERS ST",
"address_2": "SUITE 2A",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331518",
"telephone_number": "732-264-6868",
"fax_number": "732-264-8537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N BEERS ST",
"address_2": "SUITE 2A",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331518",
"telephone_number": "732-264-6868",
"fax_number": "732-264-8537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "SHELDON",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "12465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, 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.