Active NPI
Candace C. Coggins, NP
- Nurse Practitioner
- New York, NY
National Provider Identifier
1467407965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 440028
- Practice address
- 1 Gustave L Levy PL
1070
New York, NY 10029-6500 - Phone
- (212) 241-2906
- Fax
- (212) 860-9737
- NPI assigned
- May 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F4001551 | NY | |
| Nurse Practitioner | 363L00000X | 440028 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
1070
New York, NY 10029-6500
Mailing address
1 Gustave L Levy PL
Box 1070
New York, NY 10029-6500
Phone (212) 241-2906
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440028 | Other | NY | PALLIATIVE CARE NP LICENS |
| F4001551 | Other | NY | NYS LICENSE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F4001551 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai School of Medicine | Past | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Comprehensive Pain Management-Anesthesia Services, P.C. | Past | Accepting new patients | |
| Beaufort County Allergy LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/77186
- https://fhir4.healow.com/fhir/r4/BHHDBA
Organizations & group practices 4
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
- NPI 1093906828
-
- Interventional Pain Medicine Physician
- New York, NY
- NPI 1174661722
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1275594434
-
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- Hilton Head Is, SC
- NPI 1972541944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1467407965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "BOX 1070",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296500",
"telephone_number": "212-241-2906",
"fax_number": "212-860-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "1070",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296500",
"telephone_number": "212-241-2906",
"fax_number": "212-860-9737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGGINS",
"first_name": "CANDACE",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F4001551",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "440028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALLIATIVE CARE NP LICENS",
"identifier": "440028",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "F4001551",
"state": "NY"
}
],
"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 Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.