Organization Active NPI

Paul Cohen MD PC

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1619956752
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
179062 Issued in NY
Legal business name
PAUL COHEN MD PC
Practice address
1310 President St
Brooklyn, NY 11213-4238
Phone
(718) 221-0415
Fax
(516) 795-6327
NPI assigned
Jan 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Paul H Cohen, MDNPI 1760462436
Title
Sole Prioprieter
Phone
(516) 795-6327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 179062 NY Primary

Addresses

Primary practice location

1310 President St
Brooklyn, NY 11213-4238

Mailing address

72 Kings Walk
Massapequa Park, NY 11762-3906
Phone (516) 795-6327

Other identifiers 1

IdentifierTypeStateIssuer
01586649MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000733 NY Part B Supplier - Clinic/Group Practice 0345212528 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1619956752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 KINGS WALK",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623906",
            "telephone_number": "516-795-6327",
            "fax_number": "516-799-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134238",
            "telephone_number": "718-221-0415",
            "fax_number": "516-795-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL COHEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SOLE PRIOPRIETER",
        "authorized_official_telephone_number": "516-795-6327",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "179062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01586649",
            "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 May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.