Michael David Cohen, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

162280 Issued in NY

Practice address

52 Washington St RM 122N
Office of Children and Family Services
Rensselaer, NY 12144-2834

Phone

(518) 474-9560

Fax

(518) 486-7099

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790901080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SPRING ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663420",
            "telephone_number": "518-584-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WASHINGTON ST RM 122N",
            "address_2": "OFFICE OF CHILDREN AND FAMILY SERVICES",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121442834",
            "telephone_number": "518-474-9560",
            "fax_number": "518-486-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "162280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Charities Tri-County Services
• Kathleen Catone
• Chirocare, PC
• Dennis B Cicchino, PA
• Brianna Lyn Clark, LCSW
• Adrian Coleman
• Nancy A. Collins, M.S. ED.
• Community Care Physicians, PC
• Concept Fund Management Org
• Kristin Marie Cooke, NP

• Pediatric Adolescent Medicine Physician in Rensselaer, NY
• Providers in Rensselaer, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.