Individual provider Active NPI

Robert I Cohen, M.D.

  • Anesthesiology Physician
  • Newton Center, MA
National Provider Identifier
1699713909
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
56855 Issued in MA
Practice address
10 Laurel St
Newton Center, MA 02459-2113
Phone
(508) 847-5458
Fax
(617) 607-6049
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 56855 MA
Anesthesiology Physician 207L00000X 56855 MA Primary

Addresses

Primary practice location

10 Laurel St
Newton Center, MA 02459-2113

Mailing address

10 Laurel St
Newton Center, MA 02459-2113
Phone (617) 765-4963

Other identifiers 1

IdentifierTypeStateIssuer
110044663AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050331000351 MA Practitioner - Anesthesiology 0840247086 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Anesthesia Associates PLLC CurrentSince Jul 27, 2019 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 7, 1984 Accepting new patients
Pioneer Sedation PLLC CurrentSince Jul 31, 2019 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Anesthesiology CurrentSince Jul 7, 1984 Accepting new patients
Medical Anesthesiology Consultants Anesthesiology Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

59 Lowes Way
Lowell, MA 01851
Phone (617) 733-4166

3550 Main St
Ste 103
Springfield, MA 01107
Phone (413) 788-9700

Organizations & group practices 5

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1699713909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAUREL ST",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592113",
            "telephone_number": "617-765-4963",
            "fax_number": "617-607-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LAUREL ST",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592113",
            "telephone_number": "508-847-5458",
            "fax_number": "617-607-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ROBERT",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "56855",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "56855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110044663A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

Verify at the official NPI Registry.