Individual provider Active NPI

Jeffrey Todd Cohen, M.D.

  • Nephrology Physician
  • Manhasset, NY
National Provider Identifier
1285839274
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
240798 Issued in NY
Practice address
1129 Northern Blvd
Suite #101
Manhasset, NY 11030-3045
Phone
(516) 365-5570
Fax
(516) 365-5532
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 240798 NY Primary
Internal Medicine Physician 207R00000X 240798 NY

Addresses

Primary practice location

1129 Northern Blvd
Suite #101
Manhasset, NY 11030-3045

Mailing address

1129 Northern Blvd
Suite #101
Manhasset, NY 11030-3045
Phone (516) 365-5570

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
I20091203000452 NY Practitioner - NephrologyPractitioner - Internal Medicine 2860531894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

Hospital & facility affiliations

  • Lij Satellite Dialysis Facility Dialysis facility, Queens Village, NY, CCN 333503
  • DaVita Crossways Park Dialysis Dialysis facility, Woodbury, NY, CCN 332773
  • Queens-Long Island Renal Institute Dialysis facility, New Hyde Park, NY, CCN 332673
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240798NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC Nephrology CurrentSince Apr 1, 2019 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Apr 1, 2019 Accepting new patients
Prine Health Medical Group, PLLC Past Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

400 S Oyster Bay Rd
Ste 308
Hicksville, NY 11801
Phone (516) 365-5570

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

Networks

  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jcohen@prine.curemd.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1285839274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD",
            "address_2": "SUITE #101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303045",
            "telephone_number": "516-365-5570",
            "fax_number": "516-365-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD",
            "address_2": "SUITE #101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303045",
            "telephone_number": "516-365-5570",
            "fax_number": "516-365-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "240798",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.