Richard Shalett Cohen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

120310 Issued in NY

Practice address

52 Utica St
Hamilton, NY 13346-1108

Phone

(315) 824-2477

Fax

(315) 824-1851

NPI assigned

Feb 21, 2006

Last updated

Jul 16, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Waterville, NY
  • NPI 1477080604

  Corporate Director

  CMS ownership
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Hamilton, NY
  • NPI 1609303692

  Corporate Director

  CMS ownership
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Morrisville, NY
  • NPI 1902333149

  Corporate Director

  CMS ownership
• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1699740886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 UTICA ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 UTICA ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461108",
            "telephone_number": "315-824-2477",
            "fax_number": "315-824-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RICHARD",
        "middle_name": "SHALETT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "120310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00572909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill A Clark, MA, LMT, NCTMB
• Melanie Clough, R.PH.
• CMV Pharmacy Inc (Dougherty Pharmacy)
• CMV Pharmacy Inc (Dougherty Pharmacy LTC)
• Marjorie Hill Cohen, M.S.
• Colgate University
• College St Orthopedics (Hamilton Orthopedic Surgery & Sports Medicine)
• Kristin W Collins, PA-C
• Michelle Coluzzi, MPHIL, MS, RDN
• Community Memorial Hospital

• Family Medicine Physician in Hamilton, NY
• Providers in Hamilton, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.