Active NPI
David Jose Cohen, MD
- General Practice Physician
- Greenacres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1242
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1242 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | 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 | Current | Accepting new patients |
| Florida Community Health Centers Inc | Multi-Specialty | Current | 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
- 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.
-
- Family Medicine Physician
- Pahokee, FL
- NPI 1851518211
FL, Multi-Specialty
-
- Family Medicine Physician
- Clewiston, FL
- NPI 1124078571
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Moore Haven, FL
- NPI 1194071944
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Port St Lucie, FL
- NPI 1215986872
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Stuart, FL
- NPI 1659621654
Multi-Specialty
-
- Family Medicine Physician
- Okeechobee, FL
- NPI 1952351306
Multi-Specialty
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.