Individual provider Active NPI

Jonathan M. Cohen, L.AC., A.P.

  • Acupuncturist
  • Holly Hill,, FL
National Provider Identifier
1982734372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP1615 Issued in FL
Practice address
721 Ridgewood Ave.
Ste. 9
Holly Hill,, FL 32117
Phone
(386) 947-9009
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP1615 FL Primary

Addresses

Primary practice location

721 Ridgewood Ave.
Ste. 9
Holly Hill,, FL 32117

Mailing address

1815 Linda Ave
Ormond Beach, FL 32174-7245
Phone (386) 947-9009

Other identifiers 2

IdentifierTypeStateIssuer
000749494OtherFLAETNA PIN
CO777OtherFLBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP1615FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Acupuncture & Oriental Medical Center Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982734372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 LINDA AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747245",
            "telephone_number": "386-947-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 RIDGEWOOD AVE.",
            "address_2": "STE. 9",
            "city": "HOLLY HILL,",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-947-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JONATHAN",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "L.AC., A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "000749494",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "CO777",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Hill,, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.