Active NPI
Lester Cohen, C.R.N.P.
- Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1497758965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP001023B
- Practice address
- 6120-B Woodland Avenue
2ND Floor
Philadelphia, PA 19142 - Phone
- (215) 727-4721
- NPI assigned
- May 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP001023B | PA | Primary |
Addresses
Primary practice location
6120-B Woodland Avenue
2ND Floor
Philadelphia, PA 19142
Mailing address
4700 Wissahickon Ave
Suite 118
Philadelphia, PA 19144-4248
Phone (267) 597-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011451120005 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130116000111 | PA | Order and Referring Only - Nurse Practitioner | 0840479960 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1497758965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 WISSAHICKON AVE",
"address_2": "SUITE 118",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444248",
"telephone_number": "267-597-3600",
"fax_number": "267-597-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120-B WOODLAND AVENUE",
"address_2": "2ND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19142",
"telephone_number": "215-727-4721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "LESTER",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP001023B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011451120005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.