Stephen C Cohen, DO.
Individual provider Active NPI Nephrology Physician · Trenton, NJ
NPI 1659301166 · NPPES record last updated Sep 21, 2010
Key facts
- NPI
- 1659301166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- MD066248 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Philadelphia College of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercer Medical Associates
Practice addresses (Care Compare)
40 Fuld St
Trenton, NJ 08638-5247
Phone (609) 599-1004
Hospital & facility affiliations
- FMC Hamilton Square
- FMC Princeton
- H. Fuld Capital Health
- DaVita Renal Center of Hamilton
- Capital Health Regional Medical Center
- Capital Health Medical Center - Hopewell
- Robert Wood Johnson University Hospital at Hamilton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110106000712 | NJ | Practitioner - Nephrology | 5193724003 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD066248 | NJ | MD | Nephrology Physician |
| MD66248 | NJ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercer Medical Associates | Nephrology | Current |
Accepting new patients |
Locations
40 Fuld St
Ste 401
Trenton, NJ 08638
Phone (609) 599-1004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD66248 | NJ | |
| Nephrology Physician | 207RN0300X | MD066248 | NJ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9038001 | Medicaid | NJ |
Other providers in Trenton, NJ
- Clear Mind Counseling LLC
- Dennis James Cleri
- Carleen Coates
- Cocco Enterprises Inc
- Barry H. Cohen
- Adedeji Cole
- Robert Eugene Colella
- Kimberly Anne Coleman
- Evan Maclean Collins
- Lynda S. Collins
All providers in Trenton, NJ · Nephrology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.