Individual provider Active NPI

Roberta G Cohen, MS RN CS

  • Clinical Nurse Specialist
  • North Bellmore, NY
National Provider Identifier
1619994183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
140135 Issued in NY
Practice address
2415 Jerusalem Ave
Suite 107
North Bellmore, NY 11030
Phone
(516) 678-8302
Fax
(516) 484-1906
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 140135 NY Primary

Addresses

Primary practice location

2415 Jerusalem Ave
Suite 107
North Bellmore, NY 11030

Mailing address

187 Gannet Court
Manhasset, NY 11030
Phone (516) 484-1906

Other identifiers 7

IdentifierTypeStateIssuer
132464OtherEMPIRE VALUE OPTION
140135OtherHIP
7494086OtherEMPIRE GHI PIN
120759OtherVYTRA
P1075751OtherOXFORD
P83534780OtherMULTIPLAN
7121055OtherAETNA

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000457 NY Practitioner - Certified Clinical Nurse Specialist (CNS) 5991832610 Practice locations: East Meadow, NY

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1957
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1975 Hempstead Tpke
East Meadow, NY 11554-1703
Phone (516) 679-8302

1975 Hempstead Turnpike
Suite 404
East Meadow, NY 11554-1703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
140135NYMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Elana Friedman LCSW PLLC PastSince Aug 23, 2020 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619994183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 GANNET COURT",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-484-1906",
            "fax_number": "516-484-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 JERUSALEM AVE",
            "address_2": "SUITE 107",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-678-8302",
            "fax_number": "516-484-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ROBERTA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MS RN CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NY",
            "license": "140135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE VALUE OPTION",
            "identifier": "132464",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "140135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE GHI PIN",
            "identifier": "7494086",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "120759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1075751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P83534780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7121055",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

Verify at the official NPI Registry.