Organization Active NPI

Vincent Cobblah MDPC

  • General Acute Care Hospital
  • New York, NY
National Provider Identifier
1992858351
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
203157 Issued in NY
Legal business name
VINCENT COBBLAH MDPC
Practice address
16TH Street and First Ave
Beth Israel Medical Center
New York, NY 10003
Phone
(212) 420-2385
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent Quao Cobblah, MD
Title
Owner
Phone
(914) 309-7122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 203157 NY Primary

Addresses

Primary practice location

16TH Street and First Ave
Beth Israel Medical Center
New York, NY 10003

Mailing address

201 E 17TH St
Suite 5F
New York, NY 10003-3607
Phone (914) 309-7122

Other identifiers 1

IdentifierTypeStateIssuer
G41879MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992858351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 17TH ST",
            "address_2": "SUITE 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033607",
            "telephone_number": "914-309-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16TH STREET AND FIRST AVE",
            "address_2": "BETH ISRAEL MEDICAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT COBBLAH MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBBLAH",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "QUAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-309-7122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "203157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G41879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.