Active NPIIndividual providerSole proprietor

Ethan A Cowan, MD

Preventive Medicine, Addiction Medicine in Newark, New Jersey

NPI Number1366540585
Practice location
150 Bergen St, Newark, NJ 07103-2496
Fax
—
Last updated
September 15, 2026

Ethan Adrian Cowan is a Preventive Medicine, Addiction Medicine based in Newark, NJ. Ethan Adrian Cowan practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Ethan Adrian Cowan is 1366540585 and holds a License No. 25MA08676600 (NJ). The current practice location address for Ethan Adrian Cowan is 150 Bergen St, Newark, NJ 07103-2496 and can be reached out via phone at 973-972-5123.

Provider Profile Details

NPI Number
1366540585
Provider Name
Ethan Adrian Cowan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Bergen St, Newark, NJ 07103-2496
Phone Number
973-972-5123
Primary Taxonomy
Preventive Medicine, Addiction Medicine · 2083A0300X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2006
Last Update Date
September 15, 2026
Certification Date
September 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
973-972-5123
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
185 S Orange Ave # Msbe-609
Newark, NJ 07103-2757
City
Newark
State
NJ
Zip
07103-2757
Phone Number
973-972-9438

License Information

License Number (1)
25MA08676600
License State (1)
NJ
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
25MA08676600
License State (2)
NJ
Taxonomy (2)
Preventive Medicine, Addiction Medicine · 2083A0300X · Primary
License Number (3)
232321
License State (3)
NY
Taxonomy (3)
Emergency Medicine · 207P00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ethan A Cowan, MD?

The NPI number of Ethan A Cowan, MD is 1366540585. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Ethan A Cowan, MD?

Ethan A Cowan, MD is registered under the primary taxonomy Preventive Medicine, Addiction Medicine (code 2083A0300X), licensed in NJ under license number 25MA08676600.

Where does Ethan A Cowan, MD practice?

The practice location is 150 Bergen St, Newark, NJ 07103-2496. The office can be reached at 973-972-5123 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366540585 directly on the NPPES registry website.

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