Individual provider Active NPI

Yitzchak Cohen

  • Foot & Ankle Surgery Podiatrist
  • Lodi, NJ
National Provider Identifier
1881930683
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
R84297 Issued in NY
Practice address
105 Union St Apt 1Ab
Lodi, NJ 07644-3226
Phone
(201) 654-6507
NPI assigned
Dec 26, 2012
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X R84297 NY Primary

Addresses

Primary practice location

105 Union St Apt 1Ab
Lodi, NJ 07644-3226

Mailing address

PO Box 1054
Clifton, NJ 07014-1054
Phone (201) 654-6507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150330000419 NJ Practitioner - Podiatry 6800113952 Reassigns benefits to 3 organizations
Practice locations: Passaic, NJ
I20180122001805 NY Practitioner - Podiatry 6800113952 Reassigns benefits to 1 organization
Practice locations: Astoria, NY; Spring Valley, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boltrope Podiatry Ny PLLCGroup PAC ID 5496135329, 32 clinicians
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

25 Smith St
Suite 204
Nanuet, NY 10954-2971
Phone (845) 623-5863

67 Broadway
Suite 1
Elmwood Park, NJ 07407-1836
Phone (201) 794-3223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions19
Removal of nail tissue380
Removal or shaving of skin growth329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R84297NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Foot & Ankle Centers, P.C. Foot & Ankle Surgery CurrentSince Jun 22, 2019 Accepting new patients
Cur Alta Medical Ny PLLC Foot & Ankle Surgery CurrentSince Jun 23, 2022 Accepting new patients
Proactive Foot and Ankle Foot & Ankle Surgery CurrentSince Sep 28, 2022 Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Feb 19, 2022 Accepting new patients
Proactive Foot and Ankle CurrentSince Sep 28, 2022 Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Feb 19, 2022 Accepting new patients
Phase Two Podiatry PC CurrentSince Aug 30, 2017 Accepting new patients
Cur Alta Medical Ny PLLC Foot & Ankle Surgery CurrentSince Jun 23, 2022 Accepting new patients

Locations

67 Broadway
Elmwood Park, NJ 07407
Phone (201) 794-3223

67 Broadway
Ste 1
Elmwood Park, NJ 07407
Phone (201) 794-3223

105 Union St
Apt 1AB
Lodi, NJ 07644

550 Kinderkamack Rd
Ste 201
Oradell, NJ 07649
Phone (201) 261-9445

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

69 Maple Rd
#506
West Milford, NJ 07480
Phone (973) 697-5640

400 Old Hook Rd
Westwood, NJ 07675
Phone (201) 261-9445

301 Mill Rd
Ste U7
Hewlett, NY 11557

111 Main St
Nanuet, NY 10954
Phone (845) 623-5863

25 Smith St
Ste 204
Nanuet, NY 10954
Phone (845) 623-5863

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

8612 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 846-7872

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1881930683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1054",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141054",
            "telephone_number": "201-654-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 UNION ST APT 1AB",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076443226",
            "telephone_number": "201-654-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "YITZCHAK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "R84297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, NJ

Sources for this page

Verify at the official NPI Registry.