NPIMap

Individual provider Active NPI

Jerry A Cohen, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Narberth, PA
National Provider Identifier
1629015680
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OS003273L Issued in PA
Practice address
857 Montgomery Ave
Narberth, PA 19072-1541
Phone
(610) 664-2951
Fax
(610) 664-2131
NPI assigned
May 31, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS003273L PA Primary

Addresses

Primary practice location

857 Montgomery Ave
Narberth, PA 19072-1541

Mailing address

857 Montgomery Ave
Narberth, PA 19072-1541
Phone (610) 664-2951

Other identifiers 1

IdentifierTypeStateIssuer
0006617510002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000409 PA Practitioner - General PracticePractitioner - Geriatric Medicine 1850317116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Geriatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Medical Group LTDGroup PAC ID 9830003599, 9 clinicians

Practice addresses (Care Compare)

600 W Cheltenham Ave
Philadelphia, PA 19126-3045
Phone (215) 927-7300

6200 Ardleigh St
Philadelphia, PA 19138-1521
Phone (215) 844-1889

857 Montgomery Ave
Narberth, PA 19072-1541

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
91.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Medical Group LTD Geriatric Medicine CurrentSince Mar 12, 1979 Accepting new patients
Bala Nursing & Ret CNTR LTD Ptrshp Ford Rd Corp Past Accepting new patients
Simpson House Inc. Past Accepting new patients
Cliveden Operating, LLC Past Accepting new patients
Ahf- Montgomery Inc Past Accepting new patients
CL Operating LLC Past Accepting new patients
600 W Cheltenham Opco, LLC Past Accepting new patients
Albert Einstein Medical Center Past Accepting new patients

Locations

5101 N Park Dr
Pennsauken, NJ 08109
Phone (856) 665-8844

857 Montgomery Ave
Penn Valley, PA 19072
Phone (610) 664-2951

857 Montgomery Ave
#1
Penn Valley, PA 19072
Phone (601) 664-2951

4001 Ford Rd
Philadelphia, PA 19131
Phone (215) 877-5400

600 W Cheltenham Ave
Philadelphia, PA 19126
Phone (215) 509-6826

6400 Greene St
Philadelphia, PA 19119
Phone (215) 844-6400

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cliveden Nursing and Rehabilitation CenterPhiladelphia, PA, CCN 395852 Skilled nursing facility Adp of the SNF Jun 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • CL Operating LLC

    dba Cliveden Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Philadelphia, PA
    • NPI 1679383293

    Adp of the SNF

    CMS ownership

Organizations & group practices 8

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629015680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 MONTGOMERY AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721541",
            "telephone_number": "610-664-2951",
            "fax_number": "610-664-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 MONTGOMERY AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721541",
            "telephone_number": "610-664-2951",
            "fax_number": "610-664-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JERRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS003273L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006617510002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

Verify at the official NPI Registry.