Brian D. Cohen, M.D., PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

238583 Issued in NY

Legal business name

BRIAN D. COHEN, M.D., PLLC

Practice address

560 Northern Blvd
Suite 209
Great Neck, NY 11021-5118

Phone

(516) 773-4200

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Brian D. Cohen, M.D.NPI 1417114463

Title

Owner

Phone

(212) 472-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Brian Douglas Cohen, MD

  • Plastic and Reconstructive Surgery Physician
  • Great Neck, NY
  • NPI 1417114463
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1144517160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "address_2": "SUITE 209",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215118",
            "telephone_number": "516-773-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "address_2": "SUITE 209",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215118",
            "telephone_number": "516-773-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D. COHEN, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-472-4700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "238583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Brancaccio-Cantore, M.S. ED
• Brandon M. Elnekaveh, MD PLLC
• Carol Ruth Bravmann, PH.D
• Marisa Brazak
• Alison Brennan, PH.D.
• Jaclyn Taylor Brigandi
• Bianca Brockman, PA-C
• Liat Mindy Brody, M.S., OTR/L
• Stewart Charles Brody, DDS
• Richard Lawrence Bronzo X, MD

• Plastic and Reconstructive Surgery Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.