Individual provider Active NPI

Mark J. Cohen, D.D.S.

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1952456345
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033271-1 Issued in NY
Practice address
2233 Clifford Ave
Rochester, NY 14609-3728
Phone
(585) 288-1462
Fax
(585) 224-0383
NPI assigned
Jan 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 033271-1 NY Primary

Addresses

Primary practice location

2233 Clifford Ave
Rochester, NY 14609-3728

Mailing address

2233 Clifford Ave
Rochester, NY 14609-3728
Phone (585) 288-1462

Other names 1

  • Dr. Mark J. Cohen Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209002380 NY Order and Referring Only - DentistPractitioner - Dentist 6406150630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033271-1NYMDGeneral Practice Dentistry
033271NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952456345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 CLIFFORD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093728",
            "telephone_number": "585-288-1462",
            "fax_number": "585-224-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 CLIFFORD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093728",
            "telephone_number": "585-288-1462",
            "fax_number": "585-224-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033271-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "COHEN",
            "middle_name": "J.",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.