Organization Active NPI

David L. Cohen, M.D., P.C.

  • Dermatology Physician
  • Hewlett, NY
National Provider Identifier
1629219522
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
131037 Issued in NY
Legal business name
DAVID L. COHEN, M.D., P.C.
Practice address
1800 Rockaway Ave
Suite 208
Hewlett, NY 11557-1665
Phone
(516) 887-4335
Fax
(516) 887-8569
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Joann Lurie
Title
Office Manager
Phone
(516) 887-4335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 131037 NY Primary

Addresses

Primary practice location

1800 Rockaway Ave
Suite 208
Hewlett, NY 11557-1665

Mailing address

1800 Rockaway Ave
Suite 208
Hewlett, NY 11557-1665
Phone (516) 887-4335

Other identifiers 1

IdentifierTypeStateIssuer
00339693MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090321000016 NY Part B Supplier - Clinic/Group Practice 2163589912 Receives reassigned benefits from 1 practitioner
Practice locations: Hewlett, NY

National Provider Directory

National Provider Directory

Locations

1800 Rockaway Ave
Ste 208
Hewlett, NY 11557
Phone (516) 887-4335

Practitioners & affiliated clinicians

Practitioners 1

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": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1629219522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ROCKAWAY AVE",
            "address_2": "SUITE 208",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571665",
            "telephone_number": "516-887-4335",
            "fax_number": "516-887-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ROCKAWAY AVE",
            "address_2": "SUITE 208",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571665",
            "telephone_number": "516-887-4335",
            "fax_number": "516-887-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. COHEN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "LURIE",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-887-4335"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "131037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00339693",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.