Active NPI
Maurice B Cohen, M.D.
- Gastroenterology Physician
- Salem, NH
National Provider Identifier
1851482277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 9119
- Practice address
- Northeast Gastroenterology Assoc., PC
52 Stiles Road Suite 110
Salem, NH 03079 - Phone
- (603) 898-5082
- Fax
- (603) 890-5453
- NPI assigned
- Sep 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 60421 | MA | |
| Gastroenterology Physician | 207RG0100X | 9119 | NH | Primary |
Addresses
Primary practice location
Northeast Gastroenterology Assoc., PC
52 Stiles Road Suite 110
Salem, NH 03079
Mailing address
52 Stiles Road
Suite 110
Salem, NH 03079
Phone (603) 898-5082
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3044611 | Medicaid | MA | |
| 9784594 | Medicaid | MA | |
| 30006426 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060125000729 | NH | Practitioner - Internal Medicine | 5395784169 | Reassigns benefits to 1 organization |
| I20060327000753 | MA | Practitioner - Gastroenterology | 5395784169 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60421 | MA | MD | Gastroenterology Physician |
| 9119 | NH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Personalized Healthcare, PLLC | Past | Accepting new patients | |
| Caritas Holy Family Hosptial Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/16479/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Salem, NH
- NPI 1922199348
MA, NH
-
- Family Medicine Physician
- Salem, NH
- NPI 1609312644
-
- Skilled Nursing Facility
- Methuen, MA
- NPI 1255417317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1851482277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 STILES ROAD",
"address_2": "SUITE 110",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-898-5082",
"fax_number": "603-890-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHEAST GASTROENTEROLOGY ASSOC., PC",
"address_2": "52 STILES ROAD SUITE 110",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-898-5082",
"fax_number": "603-890-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MAURICE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "60421",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NH",
"license": "9119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3044611",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9784594",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30006426",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.