Heather Coffenberg

Primary specialty

PharmacistTaxonomy code 183500000X

License

052260 Issued in NY

Practice address

62 Indiana Avenue
Long Beach, NY 11561

Phone

(617) 970-8813

NPI assigned

Mar 9, 2010

Last updated

Mar 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1962725663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 INDIANA AVENUE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 INDIANA AVENUE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "telephone_number": "617-970-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFENBERG",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Medical of Upper East Side, PLLC (CityMD Urgent Care)
• City of Long Beach
• Susan M Clark, LMT, MMT
• Danielle Cobb, RPH
• Wendy Cobb
• Erin A Coffey-Surgot, M.S.E, P.D.
• Barry L Cohan, DDS
• Eve G Cohen, A.T.R., L.C.A.T.
• Freda Cohen
• Jordana Cohen

• Pharmacist in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.