Organization Active NPI

Main Line Oculoplastics

  • Ophthalmology Physician
  • Voorhees, NJ
National Provider Identifier
1538347000
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD034647E Issued in PA
Legal business name
MAIN LINE OCULOPLASTICS
Practice address
2301 E Evesham Rd
Suite 101
Voorhees, NJ 08043-4501
Phone
(856) 772-2552
Fax
(856) 772-1946
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Marc Stewart Cohen, MD
Title
MD
Phone
(856) 772-2552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD034647E PA Primary

Addresses

Primary practice location

2301 E Evesham Rd
Suite 101
Voorhees, NJ 08043-4501

Mailing address

2301 E Evesham Rd
Suite 101
Voorhees, NJ 08043-4501
Phone (856) 772-2552

National Provider Directory

National Provider Directory
Tax ID family
Main Line Oculoplastics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1538347000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 101",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-772-2552",
            "fax_number": "856-772-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 101",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-772-2552",
            "fax_number": "856-772-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE OCULOPLASTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "856-772-2552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD034647E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.