Individual provider Active NPI

Glenn R Cohen, DO

  • Anesthesiology Physician
  • East Norriton, PA
National Provider Identifier
1598756231
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
012264 Issued in PA
Practice address
123 W Germantown Pike
Suite 2
East Norriton, PA 19401-1382
Phone
(610) 278-7456
Fax
(610) 278-7457
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 012264 PA Primary

Addresses

Primary practice location

123 W Germantown Pike
Suite 2
East Norriton, PA 19401-1382

Mailing address

123 W Germantown Pike
Suite 2
East Norriton, PA 19401-1382
Phone (610) 278-7456

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000484 PA Practitioner - Anesthesiology 9133152432 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Advantage PCGroup PAC ID 9335048693, 15 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

12 Newburyport Rd
Langhorne, PA 19053-1556
Phone (215) 860-4110

5501 Old York Rd Patient Tower
Suite 3
Philadelphia, PA 19141-3092
Phone (215) 456-6850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
012264PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ultracare Anesthesia Partners LLC Anesthesiology CurrentSince Dec 1, 2019 Accepting new patients
Society Hill Anesthesia Consultants, PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Mar 1, 2026 Accepting new patients
Anestiplus, Inc. Anesthesiology CurrentSince Oct 1, 2007 Accepting new patients
Anesthesia Advantage PC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Einstein Practice Plan Inc CurrentSince Mar 1, 2026 Accepting new patients
Aria Health Physician Services Past Accepting new patients
Anesticare Anesthesia Services Anesthesiology Past Accepting new patients
Anesthesia Advantage of Delaware, P.a. Anesthesiology Past Accepting new patients

Locations

100 Presidential Blvd
Fl 4
Bala Cynwyd, PA 19004
Phone (610) 664-2122

123 W Germantown Pike
Ste 2
Norristown, PA 19401
Phone (610) 278-7455

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1598756231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W GERMANTOWN PIKE",
            "address_2": "SUITE 2",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011382",
            "telephone_number": "610-278-7456",
            "fax_number": "610-278-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W GERMANTOWN PIKE",
            "address_2": "SUITE 2",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011382",
            "telephone_number": "610-278-7456",
            "fax_number": "610-278-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "GLENN",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "012264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.