Cohen Dermatopathology, PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COHEN DERMATOPATHOLOGY, PC

Practice address

270 Farmington Ave
Suite 332
Farmington, CT 06032-1934

Phone

(617) 969-4100

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Bonnie Sue Pirtz

Title

VP, Managed Care

Phone

(480) 309-2674

Specialties & licenses 2

Addresses

Other names 1

• Inform Diagnostics, Inc Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Michele Cohen, M.D.

  • Dermatopathology (Pathology) Physician
  • Lexington, MA
  • NPI 1083676431
  NPD (past)
• Lester Fred Libow, MD

  • Dermatopathology (Pathology) Physician
  • San Antonio, TX
  • NPI 1245239425

  Dermatopathology

  NPD (past)
• Yanlong Zhang, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lexington, MA
  • NPI 1659301554
  NPD (past)

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1760827166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 NORTH MACARTHUR BOULEVARD",
            "address_2": "ATTN: MANAGED CARE DEPARTMENT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392443",
            "telephone_number": "214-596-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE",
            "address_2": "SUITE 332",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321934",
            "telephone_number": "617-969-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN DERMATOPATHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "PIRTZ",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "VP, MANAGED CARE",
        "authorized_official_telephone_number": "480-309-2674"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inform Diagnostics, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soni Kevin Patterson Clubb, M.D.
• Hamza Coban, MD
• Juan Pablo Cobar Ligorria, MD
• Santiago Fabian Cobos Cobos, DDS
• Kelsey Cochran, BCBA
• Amy Cohen, DO
• Carole Black Cohen, M.D.
• Eric R Cohen, MD
• Rebecca Priscilla Cohen
• Robin Cohen

• All providers in Farmington, CT
• Clinical Medical Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.