Individual provider Active NPI

Larry Irwin Cohen, DPM

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1720121403
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004373-1 Issued in NY
Practice address
36 W 44TH St Ste 610
New York, NY 10036-8105
Phone
(212) 391-1279
Fax
(212) 391-1209
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N004373-1 NY Primary

Addresses

Primary practice location

36 W 44TH St Ste 610
New York, NY 10036-8105

Mailing address

15 W 44TH St
8TH FL
New York, NY 10036-6611
Phone (212) 391-1279

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100104000278 NY Practitioner - Podiatry 9133260854 Reassigns benefits to 2 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

36 W 44TH St
Suite 610
New York, NY 10036-8105
Phone (212) 391-1279

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004373-1NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Chiropractic and Wellness Center PLLC CurrentSince Nov 8, 2020 Accepting new patients
Phase Two Podiatry PC CurrentSince Sep 26, 2018 Accepting new patients
Medical Director Services PC CurrentSince Sep 17, 2018 Accepting new patients
American Anesthesia, PC Past Accepting new patients
Cooper Wellness and Chiropractic PastSince Nov 8, 2020 Accepting new patients
East Coast Anesthesia PC Past Accepting new patients

Locations

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

612 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4125

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

301 Mill Rd
Ste U7
Hewlett, NY 11557

36 W 44th St
Ste 610
New York, NY 10036
Phone (212) 391-1279

15 W 44th St
Fl 8
New York, NY 10036
Phone (212) 391-1279

Organizations & group practices 6

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1720121403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 44TH ST",
            "address_2": "8TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366611",
            "telephone_number": "212-391-1279",
            "fax_number": "212-391-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 44TH ST STE 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368105",
            "telephone_number": "212-391-1279",
            "fax_number": "212-391-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "LARRY",
        "middle_name": "IRWIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004373-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.