Active NPI
Edward Ralph Cohen, M.D.
- Specialist
- Baltimore, MD
National Provider Identifier
1497748925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0001989
- Practice address
- 2506 Saint Paul Street
Baltimore, MD 21218 - Phone
- (410) 235-3300
- Fax
- (410) 366-1260
- NPI assigned
- Aug 30, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C1-0005858 | MD | |
| Specialist | 174400000X | D0001989 | MD | Primary |
Addresses
Primary practice location
2506 Saint Paul Street
Baltimore, MD 21218
Mailing address
2506 Saint Paul Street
Baltimore, MD 21218
Phone (410) 235-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822011500 | Medicaid | MD | |
| 051381400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0005858 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cohen & Pushkin, M.D., P.a. | Specialist | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2506 Saint Paul St
Baltimore, MD 21218
Phone (410) 235-3300
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 and National Provider Directory roles.
-
- Specialist
- Baltimore, MD
- NPI 1235123647
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1497748925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2506 SAINT PAUL STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21218",
"telephone_number": "410-235-3300",
"fax_number": "410-366-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 SAINT PAUL STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21218",
"telephone_number": "410-235-3300",
"fax_number": "410-366-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "EDWARD",
"middle_name": "RALPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "C1-0005858",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0001989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "822011500",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051381400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.