Individual provider Active NPI

Nicole Esther Cohen-Addad, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Tobyhanna, PA
National Provider Identifier
1700918414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD424223 Issued in PA
Practice address
6039 Boardwalk Dr
Tobyhanna, PA 18466-3207
Phone
(607) 331-6183
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MD424223 PA Primary

Addresses

Primary practice location

6039 Boardwalk Dr
Tobyhanna, PA 18466-3207

Mailing address

6039 Boardwalk Dr
Tobyhanna, PA 18466-3207
Phone (607) 331-6183

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD424223PAMDNeonatal-Perinatal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700918414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 BOARDWALK DR",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184663207",
            "telephone_number": "607-331-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 BOARDWALK DR",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184663207",
            "telephone_number": "607-331-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN-ADDAD",
        "first_name": "NICOLE",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD424223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.