Bay Shore Physical Medicine &Rehabilitation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

157502 Issued in NY

Legal business name

BAY SHORE PHYSICAL MEDICINE &REHABILITATION

Practice address

41 Saxon Ave
Bay Shore, NY 11706-7021

Phone

(631) 665-4448

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alan Lawrence Cohen, M.D.

Title

President

Phone

(631) 665-4448

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1083775852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SAXON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067021",
            "telephone_number": "631-665-4448",
            "fax_number": "631-665-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SAXON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067021",
            "telephone_number": "631-665-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SHORE PHYSICAL MEDICINE &REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-665-4448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "157502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00889652",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Shore Brightwaters Rescue Ambulance Inc.
• Bay Shore Family Medicine Associates, P.C.
• Bay Shore Medical Healthcare PC
• Bay Shore Medical Services, P.C.
• Bay Shore OB GYN Group PC
• Bay Shore Physical Therapy
• Bay Shore Ufsd
• Bay Shore Union Free School District
• Bayshore Chiropractic PC
• Bayshore Eyecare LLC

• Physical Medicine & Rehabilitation Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.