Active NPI
Cypress Medical PC
- General Practice Physician
- Ridgewood, NY
National Provider Identifier
1316001852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 164309
- Legal business name
- CYPRESS MEDICAL PC
- Practice address
- 1684 Woodbine St
Ridgewood, NY 11385 - Phone
- (718) 497-8117
- Fax
- (718) 497-3208
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Smaranda Cocioba, MD
- Title
- President MD
- Phone
- (718) 497-8117
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 164309 | NY | |
| General Practice Physician | 208D00000X | 164309 | NY | Primary |
Addresses
Primary practice location
1684 Woodbine St
Ridgewood, NY 11385
Mailing address
16-84 Woodbine St
Ridgewood, NY 11385
Phone (718) 497-8117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00930323 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1316001852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16-84 WOODBINE ST",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "11385",
"telephone_number": "718-497-8117",
"fax_number": "718-497-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1684 WOODBINE ST",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "11385",
"telephone_number": "718-497-8117",
"fax_number": "718-497-3208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYPRESS MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "COCIOBA",
"authorized_official_first_name": "SMARANDA",
"authorized_official_title_or_position": "PRESIDENT MD",
"authorized_official_telephone_number": "718-497-8117",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "164309",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "NY",
"license": "164309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00930323",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.