Frederic E Cohen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

05-0085-1 Issued in NY

Legal business name

FREDERIC E COHEN

Practice address

2814 Clarendon Rd
Brooklyn, NY 11226-6318

Phone

(718) 469-0014

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frederic Ethan CohenNPI 1275679763

Title

Owner

Phone

(718) 469-0014

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederic E Cohen, DMD

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1275679763
  NPD (past) Authorized official

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1508140815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HOWARD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523115",
            "telephone_number": "516-385-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 CLARENDON RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266318",
            "telephone_number": "718-469-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC E COHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-469-0014",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "05-0085-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02319015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khalia Frazier
• Yolonda Frazier, CASAC
• Christopher Evan Frazzette
• FRC Anesthesia Group, PLLC
• Mariah Freda, LMSW
• Ghisteine Frederic
• Jean A Frederic, P.A
• Rudy Frederic
• Elva Frederick-Collins
• Hersha Frederick, FNP

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.