Individual provider Active NPI

Michael Cohen, M.D.

  • MOHS-Micrographic Surgery Physician
  • Oceanside, NY
National Provider Identifier
1275531857
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
173403-5 Issued in NY
Practice address
258 Merrick Rd
Oceanside, NY 11572-1427
Phone
(516) 766-0345
Fax
(516) 255-5353
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 173403-5 NY Primary

Addresses

Primary practice location

258 Merrick Rd
Oceanside, NY 11572-1427

Mailing address

258 Merrick Rd
Oceanside, NY 11572-1427
Phone (516) 766-0345

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000393 NY Practitioner - Dermatology 6305961665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Boston University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Nassau Dermatology PCGroup PAC ID 4284525353, 11 clinicians

Practice addresses (Care Compare)

258 Merrick Rd
Oceanside, NY 11572-1427
Phone (516) 766-0345

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision200
Removal of skin lesions195
Removal of skin cancer1616
Removal or shaving of skin growth1-10
Skin biopsy183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
173403-5NYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Nassau Dermatology P.C. Mohs-Micrographic Surgery CurrentSince Jan 1, 1999 Accepting new patients

Locations

2900 Hempstead Tpke
Levittown, NY 11756
Phone (516) 520-5500

303 E Park Ave
Long Beach, NY 11561
Phone (516) 431-2020

335 W Park Ave
Long Beach, NY 11561
Phone (516) 431-1640

258 Merrick Rd
Oceanside, NY 11572
Phone (516) 766-0345

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1275531857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MERRICK RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721427",
            "telephone_number": "516-766-0345",
            "fax_number": "516-255-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MERRICK RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721427",
            "telephone_number": "516-766-0345",
            "fax_number": "516-255-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "173403-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.