Individual provider Active NPI

Stephen C Cohen, DO.

  • Nephrology Physician
  • Trenton, NJ
National Provider Identifier
1659301166
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD066248 Issued in NJ
Practice address
40 Fuld St
Ste 401
Trenton, NJ 08638-5247
Phone
(609) 599-1004
Fax
(609) 599-3611
NPI assigned
Jul 3, 2006
Last updated
Sep 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD66248 NJ
Nephrology Physician 207RN0300X MD066248 NJ Primary

Addresses

Primary practice location

40 Fuld St
Ste 401
Trenton, NJ 08638-5247

Mailing address

40 Fuld St
Ste 401
Trenton, NJ 08638-5247
Phone (609) 599-1004

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
I20110106000712 NJ Practitioner - Nephrology 5193724003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercer Medical AssociatesGroup PAC ID 8820097728, 4 clinicians

Practice addresses (Care Compare)

40 Fuld St
Trenton, NJ 08638-5247
Phone (609) 599-1004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD066248NJMDNephrology Physician
MD66248NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Medical Associates Nephrology CurrentSince Jul 1, 1999 Accepting new patients

Locations

40 Fuld St
Ste 401
Trenton, NJ 08638
Phone (609) 599-1004

Organizations & group practices 1

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 6

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1659301166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "STE 401",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-599-1004",
            "fax_number": "609-599-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "STE 401",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-599-1004",
            "fax_number": "609-599-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MD66248",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MD066248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.