Individual provider Active NPI

Kenneth R Cohen, M.D.,F.A.C.S.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1366404238
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
109168 Issued in NY
Practice address
303 2ND Ave
Suite 15
New York, NY 10003-2739
Phone
(212) 505-2151
Fax
(212) 505-7271
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 109168 NY Primary

Addresses

Primary practice location

303 2ND Ave
Suite 15
New York, NY 10003-2739

Mailing address

27 Union SQ W
Suite 303
New York, NY 10003-3305
Phone (212) 505-2151

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
I20070718000593 NY Practitioner - Ophthalmology 8224139464 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109168NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Rosenblum, MD,PC Ophthalmology CurrentSince Jun 1, 2013 Accepting new patients
Peter J. Breingan MD & Richard L. Deluca MD Ophthalmology Past Accepting new patients

Locations

220 Madison Ave
New York, NY 10016
Phone (212) 683-7330

Interoperability endpoints

  • Direct secure messaging: kcohen@roseeye1122.srs-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1366404238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 UNION SQ W",
            "address_2": "SUITE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033305",
            "telephone_number": "212-505-2151",
            "fax_number": "212-645-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 2ND AVE",
            "address_2": "SUITE 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032739",
            "telephone_number": "212-505-2151",
            "fax_number": "212-505-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "109168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.