Active NPI
Robert G Cohen, CRNA
- Certified Registered Nurse Anesthetist
- Staten Island, NY
National Provider Identifier
1902964489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 324280-1
- Practice address
- 1424 Richmond Ave
Staten Island, NY 10314-1500 - Phone
- (718) 477-2020
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NR06510400 | NJ | |
| Certified Registered Nurse Anesthetist | 367500000X | 324280-1 | NY | Primary |
Addresses
Primary practice location
1424 Richmond Ave
Staten Island, NY 10314-1500
Mailing address
151 Red Pine Loop
Old Bridge, NJ 08857-3070
Phone (732) 360-0616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR06510400 | NJ | MD | Certified Registered Nurse Anesthetist |
| 324280-1 | NY | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1902964489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 RED PINE LOOP",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573070",
"telephone_number": "732-360-0616",
"fax_number": "732-360-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141500",
"telephone_number": "718-477-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "ROBERT",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR06510400",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "324280-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.