Organization Active NPI

Bradley Cohen DO PC

  • Neurology Physician
  • Garden City, NY
National Provider Identifier
1144325291
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
205063 Issued in NY
Legal business name
BRADLEY COHEN DO PC
Practice address
229 7TH St Ste 207
Garden City, NY 11530-5766
Phone
(516) 833-3100
Fax
(516) 430-5273
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Beth Cohen
Title
Office Manager
Phone
(516) 833-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 205063 NY Primary

Addresses

Primary practice location

229 7TH St Ste 207
Garden City, NY 11530-5766

Mailing address

229 7TH St Ste 207
Garden City, NY 11530-5766
Phone (516) 833-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061111000025 NY Part B Supplier - Clinic/Group Practice 7719985597 Receives reassigned benefits from 1 practitioner
Practice locations: Garden City, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1144325291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 7TH ST STE 207",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305766",
            "telephone_number": "516-833-3100",
            "fax_number": "516-430-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 7TH ST STE 207",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305766",
            "telephone_number": "516-833-3100",
            "fax_number": "516-430-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY COHEN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-833-3100"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "205063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.