Ilene Z. Coopersmith, M.D., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

105068 Issued in NY

Legal business name

ILENE Z. COOPERSMITH, M.D., P.C.

Practice address

2101 Mermaid Ave
Brooklyn, NY 11224-2517

Phone

(718) 266-1676

Fax

(718) 266-4528

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ilene Z. Coopersmith, M.D.

Title

Owner

Phone

(718) 266-1676

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1669860821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242517",
            "telephone_number": "718-266-1676",
            "fax_number": "718-266-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242517",
            "telephone_number": "718-266-1676",
            "fax_number": "718-266-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILENE Z. COOPERSMITH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "COOPERSMITH",
        "authorized_official_first_name": "ILENE",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-266-1676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "105068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00183284",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ilan Semandov DO PC
• Ilana Etelzon MD PC
• Ilana Kersch Nutrition PLLC
• Denys Ilchyshyn
• Alexander Ildardashty
• Katherine Irby Iler, L.AC.
• Nosakhare Paul Ilerhunmwuwa, MD
• Maricris Belza Ileto, PTA
• Mokhigul Ilhomova
• Maria Iliakova, M.D.

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.