Individual provider Active NPI

Jennifer Cohen

  • Pediatric Cardiology Physician
  • New York, NY
National Provider Identifier
1073879979
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
273821 Issued in NY
Practice address
1468 Madison Ave
New York, NY 10029-6508
Phone
(212) 305-2862
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 273821 NY Primary

Addresses

Primary practice location

1468 Madison Ave
New York, NY 10029-6508

Mailing address

323 W 96TH St Apt 811
New York, NY 10025-6196
Phone (516) 728-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200323002469 NY Practitioner - Cardiovascular Disease (Cardiology) 2062840176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

100 TH St and Madison
Annenberg BLD 3Rd Floor
New York, NY 10029-6500
Phone (212) 731-6870

100 TH St and Madison Ave
New York, NY 10029-6501
Phone (212) 731-6870

1190 GP 6TH Floor
Pcicu GP 6TH Floor
New York, NY 10029-6501
Phone (212) 731-6870

5 E 98TH St
New York, NY 10029-6501
Phone (212) 241-9410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Current Accepting new patients
Bronxcare Health System CurrentSince May 1, 2021 Accepting new patients
Fpa Hospital Based CurrentSince Feb 10, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 12, 2022 Accepting new patients
Fpa Hospital Based CurrentSince Feb 10, 2020 Accepting new patients
Bronxcare Health System CurrentSince May 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Pediatric Cardiology CurrentSince Aug 12, 2022 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

1650 Grand Concourse
Fl 12
Bronx, NY 10457
Phone (718) 518-5222

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440

5 E 98th St
Fl 8
New York, NY 10029
Phone (212) 241-4410

1468 Madison Ave
#175
New York, NY 10029
Phone (212) 241-8333

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jcohen4164131@nychhc.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1073879979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W 96TH ST APT 811",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256196",
            "telephone_number": "516-728-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-305-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "273821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.