Active NPI
Neal Burton Cohn, MD
- Pediatrics Physician
- Newark, DE
National Provider Identifier
1720190374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C1-0002118
- Practice address
- 4735 Ogletown Stanton Rd
Map 2 Suite 1116
Newark, DE 19713-2072 - Phone
- (302) 368-8612
- Fax
- (302) 368-8836
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C1-0002118 | DE | Primary |
Addresses
Primary practice location
4735 Ogletown Stanton Rd
Map 2 Suite 1116
Newark, DE 19713-2072
Mailing address
4735 Ogletown Stanton Rd
Map 2 Suite 1116
Newark, DE 19713-2072
Phone (302) 368-8612
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000014901 | Medicaid | DE | |
| 4254169 | Other | DE | AETNA USHC |
| 45827 | Other | DE | COVENTRY |
| 125911 | Other | DE | AETNA PPO |
| 783F24 | Other | DE | BCBS OF DE |
| 856321 | Other | DE | MAMSI |
| 0000014901 | Other | DE | DIAMOND STATE PARTNERS |
| 51-0110041 | Other | DE | BCBS |
| 0000014901 | Other | DE | DE PHYSICIANS CARE |
| 0081806000 | Other | DE | AETNA HMO |
| 0081806000 | Other | DE | KEYSTONE |
| K899 | Other | DE | BCBS MD |
| 510110041 | Other | DE | TAX ID |
| C48651 | Other | DE | MIDATLANTIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0002118 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates, PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1720190374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "MAP 2 SUITE 1116",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-368-8612",
"fax_number": "302-368-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "MAP 2 SUITE 1116",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-368-8612",
"fax_number": "302-368-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHN",
"first_name": "NEAL",
"middle_name": "BURTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C1-0002118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000014901",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "4254169",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "45827",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "125911",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DE",
"identifier": "783F24",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "856321",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIAMOND STATE PARTNERS",
"identifier": "0000014901",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51-0110041",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DE PHYSICIANS CARE",
"identifier": "0000014901",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0081806000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0081806000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MD",
"identifier": "K899",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "510110041",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDATLANTIC",
"identifier": "C48651",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.