Individual provider Active NPI

Randy Edward Cohen, MD

  • Cardiovascular Disease Physician
  • Fair Lawn, NJ
National Provider Identifier
1700099504
Registry record updated Sep 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08313900 Issued in NJ
Practice address
31-00 Broadway
Fair Lawn, NJ 07410-3963
Phone
(201) 693-4445
Fax
(201) 762-6109
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 239884 NY
Cardiovascular Disease Physician 207RC0000X 25MA08313900 NJ Primary

Addresses

Primary practice location

31-00 Broadway
Fair Lawn, NJ 07410-3963

Mailing address

31-00 Broadway
2ND Floor
Fair Lawn, NJ 07410
Phone (201) 796-2255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcohen@summithealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20210802000279 NJ Practitioner - Cardiovascular Disease (Cardiology) 9133295991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Current Accepting new patients
Summit Medical Group PA CurrentSince Jul 12, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Summit Medical Group PA CurrentSince Jul 12, 2021 Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
SLR Diagnostic Radiology, P.C. Past Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Montefiore Medical Center Cardiovascular Disease PastSince Sep 12, 2021 Accepting new patients
City Medical of Upper East Side, PLLC Past Accepting new patients
Bimc Faculty Practice PastSince Sep 1, 2012 Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

31-00 Broadway
Ste 2
Fair Lawn, NJ 07410
Phone (201) 796-2255

31-00 Broadway
Fair Lawn, NJ 07410
Phone (201) 791-7771

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

1090 Amsterdam Ave
#3
New York, NY 10025
Phone (212) 523-1784

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

425 W 59th St
New York, NY 10019
Phone (212) 376-3180

425 W 59th St
#6
New York, NY 10019
Phone (212) 532-7533

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

Interoperability endpoints

  • Direct secure messaging: randy.cohen.1@2983.direct.athenahealth.com
  • Direct secure messaging: rcohen189537@ahs.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1700099504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31-00 BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-796-2255",
            "fax_number": "201-762-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-00 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103963",
            "telephone_number": "201-693-4445",
            "fax_number": "201-762-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RANDY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "239884",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08313900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcohen@summithealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "31-00 Broadway",
            "city": "Fair Lawn",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074103963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.