Individual provider Active NPI

Eric R Cohen, M.D.

  • Gastroenterology Physician
  • Quincy, MA
National Provider Identifier
1972541282
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
71361 Issued in MA
Practice address
67 Coddington St
Internal Med & Gastroen
Quincy, MA 02169-4511
Phone
(617) 479-0202
Fax
(617) 479-1692
NPI assigned
Jun 2, 2006
Last updated
Jun 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 71361 MA Primary

Addresses

Primary practice location

67 Coddington St
Internal Med & Gastroen
Quincy, MA 02169-4511

Mailing address

67 Coddington St
Quincy, MA 02169-4511
Phone (617) 479-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000134 MA Practitioner - Internal MedicinePractitioner - Gastroenterology 5395784904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71361MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jan 1, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 1, 2014 Accepting new patients

Locations

11 Nevins St
Ste 501
Brighton, MA 02135
Phone (617) 779-6512

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

67 Coddington St
Ste 104
Quincy, MA 02169
Phone (617) 479-0202

67 Coddington St
Quincy, MA 02169
Phone (617) 479-0202

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1972541282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "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 ST",
            "address_2": "INTERNAL MED & GASTROEN",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694511",
            "telephone_number": "617-479-0202",
            "fax_number": "617-479-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ERIC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "71361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.