NPIMap

Organization Active NPI

Richard S Cohen DPM PA

  • Primary Podiatric Medicine Podiatrist
  • Ellicott City, MD
National Provider Identifier
1508626789
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
RICHARD S COHEN DPM PA
Practice address
3459 Saint Johns LN
Ellicott City, MD 21042-4015
Phone
(301) 758-1500
NPI assigned
Mar 22, 2024
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Richard Steven CohenNPI 1376549345
Title
Owner
Phone
(301) 345-4087

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X Primary

Addresses

Primary practice location

3459 Saint Johns LN
Ellicott City, MD 21042-4015

Mailing address

3459 Saint Johns LN
Ellicott City, MD 21042-4015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240509002841 MD Part B Supplier - Clinic/Group Practice 1153312400 Receives reassigned benefits from 4 practitioners
Practice locations: Ellicott City, MD

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Richard S Cohen DPM PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3459 Saint Johns Ln
Ellicott City, MD 21042
Phone (301) 909-8150

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1508626789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 SAINT JOHNS LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 SAINT JOHNS LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424015",
            "telephone_number": "301-758-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S COHEN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-345-4087"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.