Individual provider Active NPI

Ilan Cohen, MD

  • Ophthalmology Physician
  • Ridgewood, NY
National Provider Identifier
1649374802
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA072656 Issued in NJ
Practice address
5650 Myrtle Avenue
Ridgewood, NY 11385-1138
Phone
(718) 456-9500
Fax
(718) 497-8762
NPI assigned
Sep 11, 2006
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA072656 NJ Primary

Addresses

Primary practice location

5650 Myrtle Avenue
Ridgewood, NY 11385-1138

Mailing address

5650 Myrtle Ave
Ridgewood, NY 11385
Phone (718) 456-9500

Other practice location 1

28 Throckmorton Lane
Old Bridge, NJ 08857
Phone (732) 679-6100

Other identifiers 1

IdentifierTypeStateIssuer
8550107MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address icohen@wce.ecldirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040426000509 NJ Practitioner - Ophthalmology 6305832163 Reassigns benefits to 3 organizations
I20091130000158 NY Practitioner - Ophthalmology 6305832163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard C Angrist MD PAGroup PAC ID 5294875951, 3 clinicians
Lawrence J Feit MD PAGroup PAC ID 5294716965, 4 clinicians
Diamond District Corneal, P.C.Group PAC ID 9133018575, 4 clinicians

Practice addresses (Care Compare)

1527 State Route 27
Suite 2600
Somerset, NJ 08873-4017
Phone (732) 246-1050

28 Throckmorton LN
Old Bridge, NJ 08857-2558
Phone (732) 679-6100

5650 Myrtle Ave
Ridgewood, NY 11385-4736
Phone (715) 456-9500

Merit-based Incentive Payment System (MIPS)

Final score
82.11 of 100Reported as group
Quality
91.41
Improvement activities
40
Cost
51.81

Merit-based Incentive Payment System (MIPS)

Final score
94.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery415

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA072656NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates of Staten Island PC CurrentSince Jan 1, 2022 Accepting new patients
Campus Eye Group ASC, LLC Current Accepting new patients
Opthalmology Assoc of Statien Island Dba Bridge Opticians CurrentSince Jan 1, 2022 Accepting new patients
Lawrence J Feit MD PA Ophthalmology CurrentSince Aug 15, 2000 Accepting new patients
Campus Eye Group, LLC CurrentSince Jul 27, 2012 Accepting new patients
Diamond District Corneal, P.C. Ophthalmology CurrentSince Aug 20, 2009 Accepting new patients
Richard C Angrist MD PA Ophthalmology CurrentSince May 1, 2014 Accepting new patients
Campus Eye Group, LLC Ophthalmology CurrentSince Jul 27, 2012 Accepting new patients
NJ Eye Professionals, LLC Ophthalmology CurrentSince Jun 16, 2019 Accepting new patients
Town Optical Past Accepting new patients
New Jersey Eye Center, P.a. Ophthalmology Past Accepting new patients
Angrist Optical LLC Past Accepting new patients

Locations

28 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 679-6100

28 Throckmorton Ln
Ste 103
Old Bridge, NJ 08857
Phone (732) 679-6100

3810 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 892-5603

1527 State Route 27
Ste 2600
Somerset, NJ 08873
Phone (732) 246-1050

150 Maple Ave
South Plainfield, NJ 07080
Phone (908) 222-8700

906 Oak Tree Ave
Ste I
South Plainfield, NJ 07080
Phone (908) 222-3506

1700 Whitehorse Hamilton Square Rd
Trenton, NJ 08690
Phone (609) 890-2600

1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020

1460 Victory Blvd
Staten Island, NY 10301
Phone (718) 273-8100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1649374802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "718-456-9500",
            "fax_number": "718-497-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 MYRTLE AVENUE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851138",
            "telephone_number": "718-456-9500",
            "fax_number": "718-497-8762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Throckmorton Lane",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "08857",
            "country_code": "US",
            "telephone_number": "732-679-6100",
            "fax_number": "732-679-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ILAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA072656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8550107",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "icohen@wce.ecldirect.net",
            "affiliation": "N",
            "address_1": "5650 Myrtle Avenue",
            "city": "Ridgewood",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113851138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.