Individual provider Active NPI

Samuel Max Cohen, MD

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1790282440
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
339127 Issued in NY
Practice address
171 Delancey St FL 2
New York, NY 10002-3411
Phone
(929) 455-2600
Fax
(929) 455-2601
NPI assigned
Apr 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A165829 CA
Otolaryngology Physician 207Y00000X 339127 NY Primary

Addresses

Primary practice location

171 Delancey St FL 2
New York, NY 10002-3411

Mailing address

171 Delancey St FL 2
New York, NY 10002-3411
Phone (929) 455-2600

Other practice location 1

1701 4th St Ste 120
Santa Rosa, CA 95404-3661
Phone (707) 523-7025

Other practice location 2

801 Welch Rd
Palo Alto, CA 94304-1611
Phone (650) 497-3856

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
I20250911004806 NY Practitioner - Otolaryngology 9931555026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

171 Delancey St
New York, NY 10002-3411
Phone (929) 455-2600

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Bellevue Hospital Center Hospital, New York, NY, CCN 330204
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165829CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2025 Accepting new patients
Regents Univ of California UCSF CurrentSince Sep 12, 2023 Accepting new patients
New York University Otolaryngology CurrentSince Oct 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1701 4th St
Ste 120
Santa Rosa, CA 95404
Phone (707) 523-7025

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

70 Atlantic Ave
Fl 2
Brooklyn, NY 11201
Phone (929) 455-2500

500 1st Ave
New York, NY 10016
Phone (212) 562-4141

171 Delancey St
Fl 2
New York, NY 10002
Phone (929) 455-2600

Networks

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

Interoperability endpoints

  • Direct secure messaging: scohen308512@direct-ucsfmedicalcenter.org
  • Direct secure messaging: scohen669073@hisp.ehr.sutterhealth.org
  • Direct secure messaging: scohen123835@nyumc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1790282440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DELANCEY ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023411",
            "telephone_number": "929-455-2600",
            "fax_number": "929-455-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DELANCEY ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023411",
            "telephone_number": "929-455-2600",
            "fax_number": "929-455-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 4th St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954043661",
            "country_code": "US",
            "telephone_number": "707-523-7025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Welch Rd",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041611",
            "country_code": "US",
            "telephone_number": "650-497-3856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SAMUEL",
        "middle_name": "MAX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A165829",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "339127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.