Michael Cooperman

Primary specialty

SpecialistTaxonomy code 174400000X

License

003858 Issued in NY

Legal business name

MICHAEL COOPERMAN

Practice address

380 2ND Ave
301
New York, NY 10010-5615

Phone

(212) 777-2527

Fax

(917) 591-2660

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Michael Cooperman

Title

Administrator

Phone

(212) 777-2527

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1700074374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 2ND AVE",
            "address_2": "301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "212-777-2527",
            "fax_number": "917-591-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 2ND AVE",
            "address_2": "301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "212-777-2527",
            "fax_number": "917-591-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL COOPERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "COOPERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-777-2527"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "003858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INCORPORTE",
            "identifier": "0051083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael B. Cross, MD, P.C.
• Michael Bassiri-Tehrani MD PLLC
• Michael Braverman
• Michael C. Burnett, M.D., PLLC
• Michael Conlon, Inc
• Michael Correa MD PC
• Michael Cross, MD
• Michael D Marshall DDS PC
• Michael D Vardy Gynecology and Urogynecology, LLC
• Michael Diaz M.D.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.