NPIMap

Individual provider Active NPI

Richard Leslie Coven, MD

  • Internal Medicine Physician
  • Amityville, NY
National Provider Identifier
1750383261
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
136115 Issued in NY
Practice address
56 Grand Central Ave
Amityville, NY 11701-3749
Phone
(631) 264-2788
Fax
(631) 264-2787
NPI assigned
Aug 15, 2005
Last updated
Oct 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 136115 NY Primary

Addresses

Primary practice location

56 Grand Central Ave
Amityville, NY 11701-3749

Mailing address

56 Grand Central Ave
Amityville, NY 11701-3749
Phone (631) 264-2788

Other identifiers 2

IdentifierTypeStateIssuer
16A911OtherEMPIRE MEDICARE
00705459MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050217000405 NY Practitioner - Internal Medicine 1557313574 Practice locations: Amityville, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

56 Grand Central Ave
Amityville, NY 11701-3749
Phone (631) 264-2788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
72.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Home Medical Care PC Current Accepting new patients

Organizations & group practices 2

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

Hospital & facility affiliations 7

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1750383261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 GRAND CENTRAL AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013749",
            "telephone_number": "631-264-2788",
            "fax_number": "631-264-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 GRAND CENTRAL AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013749",
            "telephone_number": "631-264-2788",
            "fax_number": "631-264-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVEN",
        "first_name": "RICHARD",
        "middle_name": "LESLIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "136115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE MEDICARE",
            "identifier": "16A911",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00705459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.