Organization Active NPI

Eric R Cohen MD PC

  • Gastroenterology Physician
  • Quincy, MA
National Provider Identifier
1952570087
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
71361 Issued in MA
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

Updated by the provider on Feb 22, 2012

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9767436MedicaidMA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.