Healthcare Provider Details

I. General information

NPI: 1982474342
Provider Name (Legal Business Name): KRISTEN LEANNE COHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTEN LEANNE SHERLOTTI

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 CORLIES AVE STE 7
NEPTUNE NJ
07753-4989
US

IV. Provider business mailing address

39 ANNAPOLIS DR
HAZLET NJ
07730-2301
US

V. Phone/Fax

Practice location:
  • Phone: 732-927-5541
  • Fax:
Mailing address:
  • Phone: 732-768-6944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ14867300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: