Active NPI
Eric R Cohen MD PC
- Gastroenterology Physician
- Quincy, MA
National Provider Identifier
1952570087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 71361
- Legal business name
- ERIC R COHEN MD PC
- Practice address
- 67 Coddington Street
Quincy, MA 02169-4511 - Phone
- (617) 479-0202
- Fax
- (617) 479-1692
- NPI assigned
- Feb 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric R Cohen, MD
- Title
- MD
- Phone
- (617) 479-0202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 71361 | MA | Primary |
Addresses
Primary practice location
67 Coddington Street
Quincy, MA 02169-4511
Mailing address
67 Coddington Street
Quincy, MA 02169-4511
Phone (617) 479-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9767436 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
67 Coddington St
Ste 104
Quincy, MA 02169
Phone (617) 479-0202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Weymouth, MA
- NPI 1861610610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329868800000",
"number": "1952570087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 CODDINGTON STREET",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694511",
"telephone_number": "617-479-0202",
"fax_number": "617-479-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 CODDINGTON STREET",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694511",
"telephone_number": "617-479-0202",
"fax_number": "617-479-1692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC R COHEN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-22",
"last_updated": "2012-02-22",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "617-479-0202",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "71361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9767436",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.