Individual provider Active NPI

Mitchell Alan Cohn, M.D.

  • Specialist
  • Flushing, NY
National Provider Identifier
1720111339
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
170790-2 Issued in NY
Practice address
4359 147TH St
Flushing, NY 11355-1739
Phone
(718) 445-1205
Fax
(718) 939-3462
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 170790-2 NY Primary

Addresses

Primary practice location

4359 147TH St
Flushing, NY 11355-1739

Mailing address

4359 147TH St
Flushing, NY 11355-1739
Phone (718) 445-1205

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121214000079 NY Practitioner - Internal Medicine 7416109640 Reassigns benefits to 1 organization
Practice locations: Bayside, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

3726 Junction Blvd
Corona, NY 11368-1741
Phone (718) 571-9310

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170790-2NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Oct 8, 2022 Accepting new patients
Summit Health CurrentSince Jan 1, 2022 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 8, 2022 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Care Active Medical PC Current Accepting new patients
Healthexcel Cardiology Associates P.C Past Accepting new patients
City Medical of Upper East Side, PLLC Past Accepting new patients
Alliance Medical Technology Specialist Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

3726 Junction Blvd
Flushing, NY 11368
Phone (718) 571-9310

19303 Union Tpke
Fresh Meadows, NY 11366
Phone (516) 721-4648

901 Franklin Ave
Lowr
Garden City, NY 11530

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

2035 Lakeville Rd
North New Hyde Pk, NY 11040
Phone (516) 328-9797

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mitchell.cohn.1@2983.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1720111339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 147TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551739",
            "telephone_number": "718-445-1205",
            "fax_number": "718-939-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 147TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551739",
            "telephone_number": "718-445-1205",
            "fax_number": "718-939-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "MITCHELL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "170790-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.