Active NPI
Adam Louis Cohen, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 22DI02790500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040373 | PA | MD | Dentist |
| 22DI02790500 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Oral Surgery Group LLC | Current | 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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Voorhees, NJ
- NPI 1003264326
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.