Active NPI
Randolph Cohen, MD
- Obstetrics & Gynecology Physician
- Middletown, NY
National Provider Identifier
1710979299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 151382
- Practice address
- 95 Crystal Run Rd
Middletown, NY 10941-7001 - Phone
- (845) 703-6999
- Fax
- (845) 703-6297
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 151382 | NY | Primary |
Addresses
Primary practice location
95 Crystal Run Rd
Middletown, NY 10941-7001
Mailing address
155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00826646 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1710979299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CRYSTAL RUN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414028",
"telephone_number": "845-703-6999",
"fax_number": "845-703-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 CRYSTAL RUN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109417001",
"telephone_number": "845-703-6999",
"fax_number": "845-703-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "RANDOLPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "151382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00826646",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.