Individual provider Active NPI

Beth J Cohen, DC

  • Chiropractor
  • Hauppauge, NY
National Provider Identifier
1124029590
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
XOO6888 Issued in NY
Practice address
740 Veterans Hwy
Ste 210
Hauppauge, NY 11788-2329
Phone
(631) 360-7999
Fax
(631) 360-7843
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X XOO6888 NY Primary

Addresses

Primary practice location

740 Veterans Hwy
Ste 210
Hauppauge, NY 11788-2329

Mailing address

740 Veterans Hwy
Ste 210
Hauppauge, NY 11788-2329
Phone (631) 360-7999

Other identifiers 1

IdentifierTypeStateIssuer
20-2866933OtherTAX ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XOO6888NYMDChiropractor
006688NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Physical Therapy and Chiropractic PLLC Chiropractor Current Accepting new patients

Locations

740 Veterans Memorial Hwy
Ste 210
Hauppauge, NY 11788
Phone (631) 360-7999

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1124029590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 VETERANS HWY",
            "address_2": "STE 210",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882329",
            "telephone_number": "631-360-7999",
            "fax_number": "631-360-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 VETERANS HWY",
            "address_2": "STE 210",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882329",
            "telephone_number": "631-360-7999",
            "fax_number": "631-360-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BETH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XOO6888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "20-2866933",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.