Active NPI
Maria A Cohen, DMD
- Pediatric Dentistry
- Newburgh, NY
National Provider Identifier
1356727242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 057910-1
- Practice address
- 5 HDSN Vly Prof PLZ
Newburgh, NY 12550-3150 - Phone
- (786) 393-0169
- NPI assigned
- Aug 3, 2015
- Last updated
- Sep 9, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 057910-1 | NY | Primary |
Addresses
Primary practice location
5 HDSN Vly Prof PLZ
Newburgh, NY 12550-3150
Mailing address
1827 Jacob Rd
Cortlandt Manor, NY 10567-7255
Phone (786) 393-0169
Other practice location 1
8 Medical Dr
Port Jefferson Station, NY 11776-1601
Phone (631) 928-8585
Other names 1
- Maria A Duarte
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057910-1 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suffolk Pediatric Dentistry | Pediatric Dentistry | Past | Accepting new patients |
| Coniglio Dental PC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Suffolk Pediatric Dentistry PC
- Pediatric Dentistry
- Port Jefferson Station, NY
- NPI 1609915883
-
- Pediatric Dentistry
- Port Jefferson Station, NY
- NPI 1598997900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536451200000",
"number": "1356727242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 JACOB RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105677255",
"telephone_number": "786-393-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HDSN VLY PROF PLZ",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503150",
"telephone_number": "786-393-0169"
}
],
"practiceLocations": [
{
"address_1": "8 Medical Dr",
"address_purpose": "LOCATION",
"city": "Port Jefferson Station",
"state": "NY",
"postal_code": "117761601",
"country_code": "US",
"telephone_number": "631-928-8585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "MARIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2018-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "057910-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "DUARTE",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.