Healthcare Provider Details

I. General information

NPI: 1053275677
Provider Name (Legal Business Name): TOBI T COHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 ROUTE 9 STE 4
ENGLISHTOWN NJ
07726-9209
US

IV. Provider business mailing address

54A CEDAR CT
LAKEWOOD NJ
08701-5001
US

V. Phone/Fax

Practice location:
  • Phone: 732-254-8900
  • Fax:
Mailing address:
  • Phone: 347-971-8003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00094000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: