Individual provider Active NPI

Alan P Cohen, M.D.

  • Dermatology Physician
  • Kearny, NJ
National Provider Identifier
1598836280
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA072529 Issued in NJ
Practice address
752 Kearny Ave
Kearny, NJ 07032-3130
Phone
(201) 997-2553
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA072529 NJ Primary

Addresses

Primary practice location

752 Kearny Ave
Kearny, NJ 07032-3130

Mailing address

752 Kearny Ave
Kearny, NJ 07032-3130
Phone (201) 997-2553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20071011000579 NJ Practitioner - Dermatology 3274629852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Dermatology LLCGroup PAC ID 5395703573, 46 clinicians

Practice addresses (Care Compare)

1075 Central Ave
Clark, NJ 07066-1116
Phone (732) 574-1399

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions277
Removal or shaving of skin growth23
Skin biopsy81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA072529NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Dermatology LLC Dermatology CurrentSince Dec 15, 2012 Accepting new patients
Joseph D Sutton MDPC Past Accepting new patients
Vanguard Dermatology PastSince Nov 10, 2017 Accepting new patients
Clark Dermatology, LLC Dermatology PastSince May 11, 2025 Accepting new patients

Locations

36 Newark Ave
Ste 214
Belleville, NJ 07109
Phone (973) 751-1200

1425 Pompton Ave
Ste 1-1
Cedar Grove, NJ 07009
Phone (973) 785-8686

1075 Central Ave
Clark, NJ 07066
Phone (732) 574-1399

3 State Route 27
Ste 305
Edison, NJ 08820
Phone (732) 549-2448

469 Morris Ave
Ste 3
Elizabeth, NJ 07208
Phone (732) 574-1399

469 Morris Ave
Ste 2
Elizabeth, NJ 07208
Phone (908) 351-6060

505 Omni Dr
Hillsborough, NJ 08844
Phone (908) 262-2186

3202 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 332-4500

703 Kearny Ave
Kearny, NJ 07032
Phone (201) 332-4500

752 Kearny Ave
Kearny, NJ 07032
Phone (201) 997-2553

622 Boulevard
Kenilworth, NJ 07033
Phone (908) 241-3181

1 W Ridgewood Ave
Ste 305
Paramus, NJ 07652
Phone (201) 445-8558

5809 Madison St
West New York, NJ 07093
Phone (201) 770-1370

Interoperability endpoints

  • Direct secure messaging: alan.cohen@metroderm.eclinicaldirectplus.com

Organizations & group practices 4

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1598836280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323130",
            "telephone_number": "201-997-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323130",
            "telephone_number": "201-997-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ALAN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA072529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

Verify at the official NPI Registry.