NPIMap

Individual provider Active NPI

Michael Sam Cohen, MD

  • Facial Plastic Surgery Physician
  • Syosset, NY
National Provider Identifier
1467435081
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
207896 Issued in NY
Practice address
575 Underhill Blvd Ste 175
Syosset, NY 11791-3417
Phone
(516) 921-6780
Fax
(516) 921-9176
NPI assigned
Nov 29, 2005
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 207896 NY Primary

Addresses

Primary practice location

575 Underhill Blvd Ste 175
Syosset, NY 11791-3417

Mailing address

575 Underhill Blvd Ste 175
Syosset, NY 11791-3417
Phone (516) 921-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000392 NY Practitioner - Otolaryngology 2062472087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albert Einstein College of Medicine of Yeshiva University, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Michael S. Cohen MD PCGroup PAC ID 4981040441, 4 clinicians
Brain and Spine Surgeons of New York PCGroup PAC ID 7113818139, 24 clinicians

Practice addresses (Care Compare)

575 Underhill Blvd
Suite 175
Syosset, NY 11791-3417
Phone (516) 921-6780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.13 of 100Reported as group
Quality
95
Improvement activities
40
Cost
60.42

Merit-based Incentive Payment System (MIPS)

Final score
93.58 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Cohen MD PC CurrentSince Dec 27, 2023 Accepting new patients
Brain & Spine Surgeons of New York PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

106 Crystal Brook Hollow Rd
#A
Port Jeff Sta, NY 11776
Phone (631) 509-5250

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

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

4 Westchester Park Dr
Fl 4
White Plains, NY 10604
Phone (914) 948-3008

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1467435081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAEL",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "207896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.