Active NPI
Douglas S Cohen, MD
- Neurological Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 2023171
- Practice address
- 1000 10TH Ave
Department of Neurosurgery Suite 5G-80
New York, NY 10019-1147 - Phone
- (212) 523-8500
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 2023171 | NY | Primary |
Addresses
Primary practice location
1000 10TH Ave
Department of Neurosurgery Suite 5G-80
New York, NY 10019-1147
Mailing address
PO Box 95000-2234
Philadelphia, PA 19195-2234
Phone (212) 523-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01654920 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Harvard Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Castleton Ave
Staten Island, NY 10310-1805
Phone (718) 818-4570
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.48 of 100
- Quality
- 82.91
- Promoting interoperability
- 5.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 14 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202517 | NY | MD | Anesthesiology Physician |
| 2023171 | NY | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Docs Physicians Affiliated With Bimc | Past | Accepting new patients | |
| Richmond Medical Center | Past | Accepting new patients |
Locations
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
27 New Dorp Ln
Staten Island, NY 10306
Phone (718) 667-3800
355 Bard Ave
Lbby
Staten Island, NY 10310
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
800 Castleton Ave
Staten Island, NY 10310
Phone (718) 354-3344
1161 Victory Blvd
Staten Island, NY 10301
Phone (646) 417-0747
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- douglas.cohen.1@19656.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- General Practice Physician
- New York, NY
- NPI 1821016692
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1275549305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2234",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952234",
"telephone_number": "212-523-8500",
"fax_number": "212-523-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 10TH AVE",
"address_2": "DEPARTMENT OF NEUROSURGERY SUITE 5G-80",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191147",
"telephone_number": "212-523-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "DOUGLAS",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NY",
"license": "2023171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01654920",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.