Individual provider Active NPI

Stanley Bart Cohen, MD, F.A.A.P.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1114085750
Registry record updated Dec 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
148124 Issued in NY
Practice address
128 Post Ave
Suite K
New York, NY 10034-3432
Phone
(212) 942-8744
Fax
(212) 942-8744
NPI assigned
Dec 5, 2006
Last updated
Dec 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2010

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 148124 NY Primary

Addresses

Primary practice location

128 Post Ave
Suite K
New York, NY 10034-3432

Mailing address

128 Post Ave
Suite K
New York, NY 10034-3432
Phone (212) 942-8744

Other identifiers 4

IdentifierTypeStateIssuer
00855918MedicaidNY
54160NOtherCIGNA
NP1275OtherOXFORD
0096871OtherGROUP HEALTH INCORPORATED

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
I20110425000743 NY Practitioner - General PracticePractitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 0143405720 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine, Pulmonary Disease
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 Post Ave
Suite K
New York, NY 10034-3432
Phone (212) 942-8744

128 Post Ave K
New York, NY 10034-3432

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
148124NYMDPediatrics Physician

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292112000000",
    "number": "1114085750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 POST AVE",
            "address_2": "SUITE K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343432",
            "telephone_number": "212-942-8744",
            "fax_number": "212-942-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 POST AVE",
            "address_2": "SUITE K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343432",
            "telephone_number": "212-942-8744",
            "fax_number": "212-942-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "STANLEY",
        "middle_name": "BART",
        "name_prefix": "Dr.",
        "credential": "MD, F.A.A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "148124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00855918",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "54160N",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NP1275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INCORPORATED",
            "identifier": "0096871",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.