Menachem Kohen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

80503 Issued in MA

Practice address

1 Water St
Haverhill, MA 01830-6221

Phone

(978) 374-3940

NPI assigned

Jun 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1689619371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WATER ST",
            "address_2": "SUITE C",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306221",
            "telephone_number": "978-374-3940",
            "fax_number": "978-374-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WATER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306221",
            "telephone_number": "978-374-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHEN",
        "first_name": "MENACHEM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3134083",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.