Active NPI
Shahab Cohen, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1477563658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 052100
- Practice address
- 372 Ave U
Suite L1
Brooklyn, NY 11223 - Phone
- (718) 372-3151
- Fax
- (347) 492-5899
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 052100 | NY | Primary |
Addresses
Primary practice location
372 Ave U
Suite L1
Brooklyn, NY 11223
Mailing address
372 Ave U
Suite L1
Brooklyn, NY 11223
Phone (718) 372-3151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052100 | Other | NY | NYS LICENSE # |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150615001125 | NY | Order and Referring Only - Oral Surgery | 8426369620 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn Cohen, DDS PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1346532702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1477563658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 AVE U",
"address_2": "SUITE L1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11223",
"telephone_number": "718-372-3151",
"fax_number": "347-492-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 AVE U",
"address_2": "SUITE L1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11223",
"telephone_number": "718-372-3151",
"fax_number": "347-492-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "SHAHAB",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "052100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE #",
"identifier": "052100",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.