Active NPI
Dustin Taylor Cooperman, M.D.
- Anesthesiology Physician
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 285238-1
- Practice address
- 300 Community Dr
Manhasset, NY 11030-3816 - Phone
- (516) 562-0100
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 285238-1 | NY | Primary |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030-3816
Mailing address
475 48TH Ave Apt 409
Long Island City, NY 11109-5505
Phone (516) 459-6672
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 627-0334
Hospital & facility affiliations
- St Francis Hospital - the Heart Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285238-1 | NY | MD | Anesthesiology Physician |
| 285238 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Anesthesiology | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| New York Cardiovascular Anesthesiologists, P.C. | Anesthesiology | Current | Accepting new patients |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients | |
| Goldstep Ambulatory Surgery Center, LLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| Centurion Midtown Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
200 Broadway
Ste 3149
Brooklyn, NY 11211
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
300 Community Dr
Plandome, NY 11030
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Roslyn, NY
- NPI 1801834411
-
- Anesthesiology Physician
- New York, NY
- NPI 1750087854
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1689059222
Anesthesiology
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1720344609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 48TH AVE APT 409",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111095505",
"telephone_number": "516-459-6672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303816",
"telephone_number": "516-562-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPERMAN",
"first_name": "DUSTIN",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "285238-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.