Individual provider Active NPI

Chava Lilit Cogan, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1295222552
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
313003 Issued in NY
Practice address
610 W 158TH St
New York, NY 10032-7104
Phone
(212) 544-1860
NPI assigned
Apr 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 313003 NY Primary

Addresses

Primary practice location

610 W 158TH St
New York, NY 10032-7104

Mailing address

610 W 158TH St
New York, NY 10032-7104
Phone (212) 544-1860

Other names 1

  • Dr. Chava Dodge-Cogan Former name

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
I20220131000055 NY Practitioner - Family Practice 4981097789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

690 Amsterdam Ave
New York, NY 10025-6901
Phone (212) 865-4104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313003NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Nov 5, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Apr 4, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Nov 5, 2021 Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Apr 4, 2023 Accepting new patients
The Institute for Family Health Family Medicine Current Accepting new patients

Locations

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

1 Foxhall Ave
Kingston, NY 12401
Phone (845) 338-1535

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

610 W 158th St
New York, NY 10032
Phone (212) 544-1860

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

251 W 80th St
New York, NY 10024

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: chc2039@direct.nyp.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1295222552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W 158TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100327104",
            "telephone_number": "212-544-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W 158TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100327104",
            "telephone_number": "212-544-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGAN",
        "first_name": "CHAVA",
        "middle_name": "LILIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-21",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "313003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAVA",
            "last_name": "DODGE-COGAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.