Active NPI
Michael J Cohen, D.C.
- Chiropractor
- Fair Lawn, NJ
National Provider Identifier
1740354240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC04197
- Practice address
- 24-26 Fair Lawn Ave
Fair Lawn, NJ 07410-3401 - Phone
- (201) 796-0101
- Fax
- (201) 796-8220
- NPI assigned
- Nov 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC04197 | NJ | Primary |
Addresses
Primary practice location
24-26 Fair Lawn Ave
Fair Lawn, NJ 07410-3401
Mailing address
24-26 Fair Lawn Ave
Fair Lawn, NJ 07410-3401
Phone (201) 796-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110124000846 | NJ | Practitioner - Chiropractic | 2264408418 | Practice locations: Fair Lawn, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12 -47 River Rd
Fair Lawn, NJ 07410-1812
Phone (201) 796-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC04197 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J Cohen DC | Chiropractor | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Fort Lee, NJ
- NPI 1932374188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1740354240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24-26 FAIR LAWN AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103401",
"telephone_number": "201-796-0101",
"fax_number": "201-796-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24-26 FAIR LAWN AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103401",
"telephone_number": "201-796-0101",
"fax_number": "201-796-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC04197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.