Individual provider Active NPI

Philip Jay Cohen, M.D.

  • Dermatology Physician
  • East Orange, NJ
National Provider Identifier
1669566683
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA04814900 Issued in NJ
Practice address
385 Tremont Avenue
East Orange, NJ 07018
Phone
(973) 676-1000
Fax
(973) 395-7010
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 25MA04814900 NJ Primary

Addresses

Primary practice location

385 Tremont Avenue
East Orange, NJ 07018

Mailing address

1 Old Mill Road
Weston, CT 06883
Phone (203) 222-3846

Other practice location 1

83 Phillips Rd
Branchville, NJ 07826-4123
Phone (908) 313-9001

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
I20160204001843 NJ Order and Referring Only - DermatologyPractitioner - Dermatology 5698958841

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04814900NJMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1669566683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD MILL ROAD",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "06883",
            "telephone_number": "203-222-3846",
            "fax_number": "203-222-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 TREMONT AVENUE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-676-1000",
            "fax_number": "973-395-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Phillips Rd",
            "address_purpose": "LOCATION",
            "city": "Branchville",
            "state": "NJ",
            "postal_code": "078264123",
            "country_code": "US",
            "telephone_number": "908-313-9001",
            "fax_number": "973-845-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "PHILIP",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA04814900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.