Individual provider Active NPI

Adam Louis Cohen, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Voorhees, NJ
National Provider Identifier
1730568841
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02790500 Issued in NJ
Practice address
2301 E Evesham Rd Ste 211
Voorhees, NJ 08043-4504
Phone
(856) 437-4432
NPI assigned
May 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040373 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02790500 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd Ste 211
Voorhees, NJ 08043-4504

Mailing address

2301 E Evesham Rd Ste 211
Voorhees, NJ 08043-4504
Phone (856) 437-4432

Other practice location 1

21 E Main St
Moorestown, NJ 08057-3309
Phone (856) 437-4432

Other practice location 2

5 Myers Dr Ste 107
Mullica Hill, NJ 08062-9517
Phone (856) 437-4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200512000426 NJ Practitioner - DentistPractitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 3971934779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040373PAMDDentist
22DI02790500NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Oral Surgery Group LLC CurrentSince Jul 13, 2020 Accepting new patients

Locations

21 E Main St
Moorestown, NJ 08057
Phone (856) 437-4432

5 Myers Dr
Ste 107
Mullica Hill, NJ 08062
Phone (856) 437-4432

2301 E Evesham Rd
Ste 211
Voorhees, NJ 08043
Phone (856) 772-1500

2301 E Evesham Rd
Ste 602
Voorhees, NJ 08043
Phone (856) 772-1500

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1730568841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 211",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434504",
            "telephone_number": "856-437-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 211",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434504",
            "telephone_number": "856-437-4432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 E Main St",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573309",
            "country_code": "US",
            "telephone_number": "856-437-4432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Myers Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080629517",
            "country_code": "US",
            "telephone_number": "856-437-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ADAM",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040373",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02790500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.