Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1104806363
Lester M CooperstoneMD
Active
NPI Number1104806363
NPI TypeNPI-1 Individual
SpecialtySurgery
Provider Details
NPI1104806363
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-01-21
Last Updated2007-07-08
Mailing Address972 Brush Hollow Rd
Westbury, NY 11590-1740
United States
Phone: (516) 876-5555 | Fax: (516) 876-1246
📍 View Map
Primary Practice Address221 Jericho Tpke
Syosset, NY 11791-4515
United States
Phone: (516) 496-6548 | Fax: (516) 496-2771
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY01034775-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208600000X – SurgeryNY168977
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About NPI 1104806363

Lester M Cooperstone MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104806363. The primary specialty listed is Surgery. The provider is located in Syosset, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104806363?

NPI 1104806363 belongs to Lester M Cooperstone MD, a Surgery in Syosset, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104806363 active?

The current status of NPI 1104806363 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1104806363?

NPI 1104806363 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104806363?

You can verify NPI 1104806363 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104806363?

The primary practice address on file for NPI 1104806363 is 221 Jericho Tpke, Syosset, NY 11791-4515. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104806363 issued?

NPI 1104806363 was first issued (enumerated) on 2006-01-21. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Lester M Cooperstone is located at 221 Jericho Tpke, Syosset, NY. Use the map below to find directions or verify the practice location.

📍 221 Jericho Tpke, Syosset, NY 11791-4515  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Lester M Cooperstone. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104806363. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Surgery168977NY
Data Verified from CMS NPPES Last synced: 2026-08-10 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162