Individual provider Active NPI

Sheryl Sue Cohen, M.D.

  • Pediatrics Physician
  • Fresh Meadows, NY
National Provider Identifier
1083794531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
208213 Issued in NY
Practice address
6134 188TH St
Suite 211
Fresh Meadows, NY 11365-2726
Phone
(718) 454-5500
Fax
(718) 454-3500
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 208213 NY Primary

Addresses

Primary practice location

6134 188TH St
Suite 211
Fresh Meadows, NY 11365-2726

Mailing address

6134 188TH St
Suite 211
Fresh Meadows, NY 11365-2726
Phone (718) 454-5500

Other identifiers 1

IdentifierTypeStateIssuer
02230624MedicaidNY

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
I20251031002323 NY Practitioner - Pediatric Medicine 5799274460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208213NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Nov 4, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 4, 2025 Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
Alaska Pediatric Night Clinic, Inc. Pediatrics Past Accepting new patients
PM Pediatrics PC Pediatrics Past Accepting new patients
PM Pediatrics of Bayside PLLC Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

26901 76th Ave
Rm CH5
New Hyde Park, NY 11040
Phone (516) 727-0960

Interoperability endpoints

  • Direct secure messaging: sheryl.cohen@pmuc.eclinicaldirectplus.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083794531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 188TH ST",
            "address_2": "SUITE 211",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652726",
            "telephone_number": "718-454-5500",
            "fax_number": "718-454-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 188TH ST",
            "address_2": "SUITE 211",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652726",
            "telephone_number": "718-454-5500",
            "fax_number": "718-454-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SHERYL",
        "middle_name": "SUE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "208213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02230624",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.