Individual provider Active NPI

Lori Dawn Cohen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lawrence, NY
National Provider Identifier
1174653042
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
046819-1 Issued in NY
Practice address
285 Central Ave
Suite F-3
Lawrence, NY 11559-1535
Phone
(516) 371-6270
Fax
(516) 371-5648
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 046819-1 NY Primary

Addresses

Primary practice location

285 Central Ave
Suite F-3
Lawrence, NY 11559-1535

Mailing address

285 Central Ave
Suite F-3
Lawrence, NY 11559-1535
Phone (516) 371-6270

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404001168 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3274830476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046819-1NYMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1174653042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 CENTRAL AVE",
            "address_2": "SUITE F-3",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591535",
            "telephone_number": "516-371-6270",
            "fax_number": "516-371-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 CENTRAL AVE",
            "address_2": "SUITE F-3",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591535",
            "telephone_number": "516-371-6270",
            "fax_number": "516-371-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "LORI",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "046819-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

Verify at the official NPI Registry.