Ebony Cooper

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

100 N Broadway
Irvington, NY 10533-1254

Phone

(914) 591-7300

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2019.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1255976015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BROADWAY",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BROADWAY",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331254",
            "telephone_number": "914-591-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "EBONY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Cohen, M.D.
• Sarah Ann Cohen, PH.D.
• Cathy Collyer
• Rodelyn Reyes Concepcion, FNP
• Connie Douglas LCSW
• Tania Cruz, ATR-BC, LCAT
• Amber Dasilva
• Lynita Davis
• Joluis De Los Santos, DPT
• Dominick Frank Difabio, M.D.

• All providers in Irvington, NY
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.