Nicolisa Judith Cohen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05377000 Issued in NJ

Practice address

3895 Route 516
2ND Floor, Suite 2B
Old Bridge, NJ 08857-2499

Phone

(732) 996-0542

NPI assigned

Dec 6, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Caring People NJ Operating, LLCGroup PAC ID 7012324833, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Caring People NJ Operating, LLC

  • Multi-Specialty Clinic/Center
  • Clifton, NJ
  • NPI 1720514201

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1649573189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 ROUTE 516",
            "address_2": "2ND FLOOR, SUITE 2B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572499",
            "telephone_number": "732-996-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 ROUTE 516",
            "address_2": "2ND FLOOR, SUITE 2B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572499",
            "telephone_number": "732-996-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "NICOLISA",
        "middle_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05377000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearlin Christian, OTR/L
• Aida Cino, NURSE PRACTITIONER
• John Christopher Closs IV, DPT
• Coastal Medical Group PA
• Brad J Cohen, MD
• Shonta Denise Collins, CRNP, FNP-C
• Community Distributors, Inc.
• Compas Chiropractic, LLC
• Comprehensive Dental Assoc.
• Comprehensive Health and Wellness, LLC

• All providers in Old Bridge, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.