Individual provider Active NPI

Julia H Cohen, MD

  • Dermatology Physician
  • Havertown, PA
National Provider Identifier
1659464352
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD044143-L Issued in PA
Practice address
2010 West Chester Pike
Suite 350
Havertown, PA 19083-2738
Phone
(610) 924-0135
Fax
(610) 924-0620
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 MD044143-L PA Primary

Addresses

Primary practice location

2010 West Chester Pike
Suite 350
Havertown, PA 19083-2738

Mailing address

504 Brookview Lane
Havertown, PA 19083-4008
Phone (610) 446-6533

Other identifiers 3

IdentifierTypeStateIssuer
0710807000OtherPA767042PIN IBC HMO PROVIDE
MD044143-LOtherPALICENSE
629043OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120531000276 PA Practitioner - Dermatology 7315083177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryn Mawr Skin and Cancer LLPGroup PAC ID 8123098324, 10 clinicians

Practice addresses (Care Compare)

919 Conestoga Rd
Suite 106
Bryn Mawr, PA 19010-1352
Phone (610) 525-5028

Merit-based Incentive Payment System (MIPS)

Final score
98.19 of 100Reported as group
Quality
96.72
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1428
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044143-LPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Skin & Cancer LLP CurrentSince Jun 2, 2014 Accepting new patients
Edward F. Ryan,Jr. D.O.,LLC Past Accepting new patients

Locations

919 Conestoga Rd
Ste 106
Bryn Mawr, PA 19010
Phone (215) 525-5028

919 Conestoga Rd
Bldg 2
Bryn Mawr, PA 19010
Phone (215) 525-5028

3855 West Chester Pike
Ste 325
Newtown Square, PA 19073
Phone (610) 337-3111

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659464352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 BROOKVIEW LANE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834008",
            "telephone_number": "610-446-6533",
            "fax_number": "610-446-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WEST CHESTER PIKE",
            "address_2": "SUITE 350",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832738",
            "telephone_number": "610-924-0135",
            "fax_number": "610-924-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JULIA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD044143-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "767042PIN IBC HMO PROVIDE",
            "identifier": "0710807000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD044143-L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "629043",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.