Physician Compare National (NPI:1083602593)

HEALTHCARE PROVIDER: MARC DAVID COHEN DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1083602593
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527102458
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100216000695
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COHEN
	Individual professional last name
Provider First Name	MARC
	Individual professional first name
Provider Middle Name	DAVID
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	223 TAYLORS MILLS RD
	Group Practice or individual's line 1 address
City	MANALAPAN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	077263229
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7327808787
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310073
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JERSEY SHORE UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310111
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CENTRASTATE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y