MEDICARE: DR. JAY ALLEN COHEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	25MA03205200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588663231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY ALLEN COHEN M.D.

Provider Business Mailing Address
First Line	:	20 SCOTCH RD
Second Line	:
City	:	EWING
State	:	NJ
Zip	:	08628-2529
Country	:	US
Telephone Number	:	609-662-3095
Fax Number	:	609-406-0307

Provider Business Practice Location Address
First Line	:	20 SCOTCH RD
Second Line	:
City	:	EWING
State	:	NJ
Zip	:	08628-2529
Country	:	US
Telephone Number	:	609-662-3095
Fax Number	:	609-406-0307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	12/13/2012

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