Active NPI
Avram M Cooperman, M.D.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1386859684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 138892
- Practice address
- 227 E 19TH St
D231
New York, NY 10003-2602 - Phone
- (212) 995-6611
- Fax
- (212) 995-6614
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 138892 | NY | Primary |
| Surgery Physician | 208600000X | 138892 | NY | |
| Surgical Oncology Physician | 2086X0206X | 138892 | NY |
Addresses
Primary practice location
227 E 19TH St
D231
New York, NY 10003-2602
Mailing address
PO Box 207
Dobbs Ferry, NY 10522-0207
Phone (212) 995-6611
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138892 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1386859684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105220207",
"telephone_number": "212-995-6611",
"fax_number": "212-995-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 E 19TH ST",
"address_2": "D231",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100032602",
"telephone_number": "212-995-6611",
"fax_number": "212-995-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPERMAN",
"first_name": "AVRAM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "138892",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "138892",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NY",
"license": "138892",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, 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.