Organization Active NPI

David J. Cohen, M.D.

  • Specialist
  • Melrose, MA
National Provider Identifier
1578891453
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
28736 Issued in MA
Legal business name
DAVID J. COHEN, M.D.
Practice address
8 Porter St
Melrose, MA 02176-2824
Phone
(781) 662-2090
Fax
(781) 662-2090
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Ms. Carol L Cohen
Title
Office Manager
Phone
(781) 662-2090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 28736 MA Primary

Addresses

Primary practice location

8 Porter St
Melrose, MA 02176-2824

Mailing address

8 Porter St
Melrose, MA 02176-2824
Phone (781) 662-2090

Other identifiers 1

IdentifierTypeStateIssuer
2002701MedicaidMA

National Provider Directory

National Provider Directory

Locations

8 Porter St
Melrose, MA 02176
Phone (617) 387-3851

Practitioners & affiliated clinicians

Practitioners 1

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": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1578891453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PORTER ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762824",
            "telephone_number": "781-662-2090",
            "fax_number": "781-662-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PORTER ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762824",
            "telephone_number": "781-662-2090",
            "fax_number": "781-662-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. COHEN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-662-2090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "28736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002701",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.