Organization Active NPI

North Shore Geriatric Psychiatry

  • Psychiatry Physician
  • Roslyn Heights, NY
National Provider Identifier
1003126681
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NORTH SHORE GERIATRIC PSYCHIATRY
Practice address
36 Carlyle PL
Roslyn Heights, NY 11577-1206
Phone
(516) 801-1381
NPI assigned
Oct 15, 2010
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Izchak Kohen, MD
Title
President
Phone
(516) 801-1381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

36 Carlyle PL
Roslyn Heights, NY 11577-1206

Mailing address

36 Carlyle PL
Roslyn Heights, NY 11577-1206

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1003126681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CARLYLE PL",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CARLYLE PL",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771206",
            "telephone_number": "516-801-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE GERIATRIC PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "KOHEN",
        "authorized_official_first_name": "IZCHAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-801-1381",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.