Organization Active NPI

Michael S Cohen MD PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Syosset, NY
National Provider Identifier
1336853340
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
MICHAEL S COHEN MD PC
Practice address
575 Underhill Blvd Ste 175
Syosset, NY 11791-3417
Phone
(516) 921-6780
Fax
(516) 921-9176
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Dr. Michael Sam Cohen, MDNPI 1467435081
Title
Owner
Phone
(516) 850-7717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

575 Underhill Blvd Ste 175
Syosset, NY 11791-3417

Mailing address

130 Stirrup LN
Syosset, NY 11791-4417
Phone (516) 850-7177

Other practice location 1

106 Crystal Brook Hollow Rd Ste A
Port Jefferson Station, NY 11776-2030
Phone (631) 509-5250

Other practice location 2

100 E Sunrise highway
Lindenhurst, NY 11757
Phone (631) 991-9918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240307001134 NY Part B Supplier - Clinic/Group Practice 4981040441 Receives reassigned benefits from 6 practitioners
Practice locations: Port Jefferson Station, NY; Syosset, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2296281Michael S Cohen MD PC106 Crystal Brook Hollow Rd Suite a, Port Jefferson Station, NY 11776Certificate of waiverDec 25, 2027

National Provider Directory

National Provider Directory

Locations

575 Underhill Blvd
Ste 175
Syosset, NY 11791
Phone (516) 704-7004

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1336853340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STIRRUP LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914417",
            "telephone_number": "516-850-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 UNDERHILL BLVD STE 175",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913417",
            "telephone_number": "516-921-6780",
            "fax_number": "516-921-9176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Crystal Brook Hollow Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117762030",
            "country_code": "US",
            "telephone_number": "631-509-5250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Sunrise highway",
            "address_purpose": "LOCATION",
            "city": "Lindenhurst",
            "state": "NY",
            "postal_code": "11757",
            "country_code": "US",
            "telephone_number": "631-991-9918",
            "fax_number": "631-509-5253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL S COHEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-850-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.