Oded Cohen, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

65617 Issued in CT

Practice address

100 Church St S Ste A220
New Haven, CT 06519-1703

Phone

(203) 785-5966

NPI assigned

Feb 17, 2020

Reactivated

Jan 12, 2021

Last updated

Jan 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1881227973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHURCH ST S STE A220",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191703",
            "telephone_number": "203-785-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHURCH ST S STE A220",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191703",
            "telephone_number": "203-785-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ODED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "deactivation_date": "2020-12-07",
        "reactivation_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ZZ",
            "license": "I-39381",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "65617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Philip Cohen, DDS
• Jane Cohen, M.S.W.
• Jeffrey Marcus Cohen, M.D.
• Lawrence S Cohen, MD
• Nadean S Cohen, APRN PMHNP
• Shawn Matthew Cohen, M.D.
• Steven Michael Cohen, PH.D.
• Tammy Ellen Cohen, RN,DNP, NP, PMHNP
• Theresa E Cohen, PA, RN
• Zhanna Caroline Cohen, M.S., LMHC, LPC

• Otolaryngology Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Otolaryngology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.