Individual provider Active NPI

John J Len, MD

  • General Practice Physician
  • Cohoes, NY
National Provider Identifier
1912987496
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
109395 Issued in NY
Practice address
64 Howard St
Cohoes, NY 12047-3004
Phone
(518) 237-7345
Fax
(518) 237-4997
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 109395 NY Primary

Addresses

Primary practice location

64 Howard St
Cohoes, NY 12047-3004

Mailing address

64 Howard St
Cohoes, NY 12047-3004
Phone (518) 237-7345

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
I20080708000297 NY Practitioner - General PracticePractitioner - General Surgery 2163594110 Practice locations: Cohoes, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109395NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cohoes Physicians PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1912987496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 HOWARD ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120473004",
            "telephone_number": "518-237-7345",
            "fax_number": "518-237-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 HOWARD ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120473004",
            "telephone_number": "518-237-7345",
            "fax_number": "518-237-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEN",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "109395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohoes, NY

Sources for this page

Verify at the official NPI Registry.