Individual provider Active NPI

Miriam Cohen, DPT

  • Pediatric Physical Therapist
  • New Providence, NJ
National Provider Identifier
1700915196
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
40QA01078000 Issued in NJ
Practice address
98 Floral Ave Ste 101
New Providence, NJ 07974-1542
Phone
(908) 333-4743
Fax
(908) 333-4743
NPI assigned
Mar 3, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA01078000NJMDPediatric Physical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 40QA01078000 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

98 Floral Ave Ste 101
New Providence, NJ 07974-1542

Mailing address

98 Floral Ave Ste 101
New Providence, NJ 07974-1542
Phone (908) 731-5821

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2020.

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1700915196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 FLORAL AVE STE 101",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741542",
            "telephone_number": "908-731-5821",
            "fax_number": "908-333-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 FLORAL AVE STE 101",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741542",
            "telephone_number": "908-333-4743",
            "fax_number": "908-333-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MIRIAM",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA01078000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.