Active NPI
Izchak Kohen, MD
- Geriatric Psychiatry Physician
- Glen Oaks, NY
National Provider Identifier
1144321167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 233024
- Practice address
- 7559 263Rd St
Glen Oaks, NY 11004-1150 - Phone
- (718) 470-8547
- Fax
- (718) 962-7712
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 233024 | NY | Primary |
Addresses
Primary practice location
7559 263Rd St
Glen Oaks, NY 11004-1150
Mailing address
7559 263Rd St
Glen Oaks, NY 11004-1150
Phone (718) 470-8011
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070305000747 | NY | Practitioner - Psychiatry | 0547363970 | Practice locations: Great Neck, NY; Huntington, NY; Manhasset, NY; Mineola, NY; Roslyn Heights, NY; Valley Stream, NY |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233024 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PK Medical, PLLC | Past | Accepting new patients | |
| Stony Brook Psychiatric Associates, University Faculty Practice Corpor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Smithtown, NY
- NPI 1811401128
-
- Psychiatry Physician
- Stony Brook, NY
- NPI 1437105905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144321167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7559 263RD ST",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041150",
"telephone_number": "718-470-8011",
"fax_number": "718-470-6248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7559 263RD ST",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041150",
"telephone_number": "718-470-8547",
"fax_number": "718-962-7712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHEN",
"first_name": "IZCHAK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "233024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.