NPIMap

Organization Active NPI

Mark P. Cohen, DDS, PA

  • Dentist
  • Roselle Park, NJ
National Provider Identifier
1922485226
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01050300 Issued in NJ
Legal business name
MARK P. COHEN, DDS, PA
Practice address
142 Walnut St
Roselle Park, NJ 07204-2204
Phone
(908) 245-3029
Fax
(908) 245-2250
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Mark Philip Cohen, D.D.S.
Title
Owner
Phone
(908) 245-3029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22DI01050300 NJ Primary

Addresses

Primary practice location

142 Walnut St
Roselle Park, NJ 07204-2204

Mailing address

142 Walnut St
Roselle Park, NJ 07204-2204
Phone (908) 245-3029

National Provider Directory

National Provider Directory

Locations

142 Walnut St
Roselle Park, NJ 07204
Phone (908) 245-3029

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1922485226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 WALNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042204",
            "telephone_number": "908-245-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 WALNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042204",
            "telephone_number": "908-245-3029",
            "fax_number": "908-245-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P. COHEN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-245-3029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01050300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.