Individual provider Active NPI

Fredric Cogan, M.D.

  • Family Medicine Physician
  • Floral Park, NY
National Provider Identifier
1649289968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
137406 Issued in NY
Practice address
176 Tulip Ave
Floral Park, NY 11001-2838
Phone
(516) 488-1414
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Family Medicine Physician 207Q00000X 137406 NY Primary

Addresses

Primary practice location

176 Tulip Ave
Floral Park, NY 11001-2838

Mailing address

176 Tulip Ave
Floral Park, NY 11001-2838
Phone (516) 488-1414

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000244 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Family Practice 5698718906 Practice locations: Floral Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Family Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

176 Tulip Ave
Floral Park, NY 11001-2838
Phone (516) 488-1414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.67 of 100Reported as individual
Quality
43.33
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
137406NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firstmed Family Healthcare LLC Family Medicine 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649289968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012838",
            "telephone_number": "516-488-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012838",
            "telephone_number": "516-488-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGAN",
        "first_name": "FREDRIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "137406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

Verify at the official NPI Registry.