Active NPI
Jennifer Lauren Cohen, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1568692168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007411-1
- Practice address
- 805 3Rd Ave
New York, NY 10022-7513 - Phone
- (212) 750-9005
- NPI assigned
- Jul 17, 2009
- Last updated
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007411-1 | NY | Primary |
Addresses
Primary practice location
805 3Rd Ave
New York, NY 10022-7513
Mailing address
456 Links Drive South
North Hills, NY 11576
Phone (617) 372-4116
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007411-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cfo Retail, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1568692168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 LINKS DRIVE SOUTH",
"city": "NORTH HILLS",
"state": "NY",
"postal_code": "11576",
"telephone_number": "617-372-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100227513",
"telephone_number": "212-750-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "JENNIFER",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007411-1",
"primary": true
}
],
"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 Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.