Provider Demographics
NPI:1538131719
Name:COHEN, ROBERT J (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 DUTCH HILL RD
Mailing Address - Street 2:SUITE 18
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-1723
Mailing Address - Country:US
Mailing Address - Phone:845-359-4770
Mailing Address - Fax:845-359-0017
Practice Address - Street 1:3848 FAU BLVD STE 305
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6437
Practice Address - Country:US
Practice Address - Phone:561-455-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49416207N00000X
FL49416207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000014845OtherGHI HMO
114845OtherWELLCARE
2200231OtherGHI
1046066OtherUNITED HEALTHCARE
RS139OtherOXFORD
NY01340927Medicaid
0461713OtherCIGNA
76K751OtherEMPIRE BLUECROSS BLUESHIELD
0D2709OtherHEALTHNET
11463OtherHUDSON HEALTHPLANS
4470727OtherAETNA
070007503OtherRAILROAD MEDICARE
NY01340927Medicaid
0D2709OtherHEALTHNET