NPIMap

Individual provider Active NPI

Adam Cohen, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Great Neck, NY
National Provider Identifier
1104036516
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
188715 Issued in NY
Practice address
1000 Northern Blvd
Ste 340
Great Neck, NY 11021-5341
Phone
(516) 775-9090
Fax
(516) 775-3080
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 188715 NY Primary

Addresses

Primary practice location

1000 Northern Blvd
Ste 340
Great Neck, NY 11021-5341

Mailing address

1000 Northern Blvd
Ste 340
Great Neck, NY 11021-5341
Phone (516) 482-9090

Other identifiers 1

IdentifierTypeStateIssuer
01975855MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051011000058 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7719902899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Boston University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 Northern Blvd
Suite 340
Great Neck, NY 11021-5341
Phone (516) 775-9090

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Hospice Care of Long Island, Queens, South Shore Hospice, Woodbury, NY, CCN 331532
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100Reported as individual
Quality
90.54
Promoting interoperability
100
Improvement activities
40
Cost
72.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adam D Cohen MD PC Single Specialty CurrentSince Jul 1, 2005 Accepting new patients

Locations

560 Northern Blvd
Ste 210
Great Neck, NY 11021
Phone (516) 482-8826

1000 Northern Blvd
Ste 340
Great Neck, NY 11021
Phone (212) 217-3700

2800 Marcus Ave
Ste 203
New Hyde Park, NY 11042
Phone (516) 354-7900

Interoperability endpoints

  • Direct secure messaging: adam.cohen.1@13177.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1104036516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "address_2": "STE 340",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215341",
            "telephone_number": "516-482-9090",
            "fax_number": "516-775-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "address_2": "STE 340",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215341",
            "telephone_number": "516-775-9090",
            "fax_number": "516-775-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "188715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01975855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.