NPIMap

Organization Active NPI

Dr. Lee S Cohen Associates

  • Podiatrist
  • Ridley Park, PA
National Provider Identifier
1497795843
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001567L Issued in PA
Legal business name
DR. LEE S COHEN ASSOCIATES
Practice address
642 East Chester Pike
Ridley Park, PA 19078
Phone
(610) 522-9200
Fax
(610) 522-9478
NPI assigned
Jun 7, 2006
Organization subpart
Yes
Parent organization
DR LEE S COHEN ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Lee S Cohen, D.P.M.NPI 1679516710
Title
Owner / President
Phone
(610) 522-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X SC001567L PA Primary
Sports Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0000X SC001567L PA

Addresses

Primary practice location

642 East Chester Pike
Ridley Park, PA 19078

Mailing address

642 East Chester Pike
Ridley Park, PA 19078
Phone (610) 522-9200

Other identifiers 1

IdentifierTypeStateIssuer
000707925OtherPAHIGHMARK BLUESHIELD ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618001015 PA Part B Supplier - Clinic/Group Practice 1557346236 Receives reassigned benefits from 3 practitioners
Practice locations: Ridley Park, PA

National Provider Directory

National Provider Directory
Part of
Lee S Cohen DPM Assoc

Locations

642 E Chester Pike
Ridley Park, PA 19078
Phone (610) 522-9200

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1497795843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 EAST CHESTER PIKE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "19078",
            "telephone_number": "610-522-9200",
            "fax_number": "610-522-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 EAST CHESTER PIKE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "19078",
            "telephone_number": "610-522-9200",
            "fax_number": "610-522-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEE S COHEN ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR LEE S COHEN ASSOCIATES",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "610-522-9200",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001567L",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "PA",
            "license": "SC001567L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUESHIELD ID",
            "identifier": "000707925",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridley Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.