Individual provider Active NPI

David Jose Cohen, MD

  • General Practice Physician
  • Greenacres, FL
National Provider Identifier
1194241729
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1242 Issued in FL
Practice address
3387 S Jog Rd Ste 101
Greenacres, FL 33467-2010
Phone
(561) 781-8080
Fax
(787) 781-8088
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ACN1242 FL Primary

Addresses

Primary practice location

3387 S Jog Rd Ste 101
Greenacres, FL 33467-2010

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422002958 FL Practitioner - Family Practice 5496096869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3387 S Jog Rd
Suite 101
Greenacres, FL 33467-2010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1242FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers Inc Multi-Specialty Current Accepting new patients
Guidewell Sanitas I, LLC Multi-Specialty Current Accepting new patients
Florida Community Health Centers Inc Multi-Specialty Current Accepting new patients
Florida Community Health Centers Inc Multi-Specialty CurrentSince May 1, 2020 Accepting new patients
Florida Community Health Centers Inc Multi-Specialty Current Accepting new patients
Florida Community Health Centers Inc Multi-Specialty Current Accepting new patients
Guidewell Sanitas I, LLC Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients
Florida Community Health Centers Inc Multi-Specialty CurrentSince May 1, 2020 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596

5960 S Jog Rd
Ste A
Lake Worth, FL 33467
Phone (561) 468-2073

3441 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 221-4000

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

5827 Corporate Way
West Palm Beach, FL 33407
Phone (561) 844-9443

Interoperability endpoints

  • Direct secure messaging: david.cohen@wwmp.eclinicaldirectplus.com

Organizations & group practices 8

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1194241729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 S JOG RD STE 101",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672010",
            "telephone_number": "561-781-8080",
            "fax_number": "787-781-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "DAVID",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.