Individual provider Active NPI

Nicole Cohen, M.D

  • Internal Medicine Physician
  • Aventura, FL
National Provider Identifier
1376999656
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME147846 Issued in FL
Practice address
20900 Biscayne Blvd
Aventura, FL 33180-1495
Phone
(305) 962-8149
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME147846 FL Primary

Addresses

Primary practice location

20900 Biscayne Blvd
Aventura, FL 33180-1495

Mailing address

511 Ives Dairy Rd
Apt F-406
Miami, FL 33179-5486
Phone (786) 489-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220226000153 FL Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Infectious DiseasePractitioner - Hospitalist 7810281953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-9976

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147846FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Apr 26, 2024 Accepting new patients
South Broward Hospital District CurrentSince Apr 26, 2024 Accepting new patients
South Miami Inpatient Physicians Internal Medicine CurrentSince Oct 16, 2021 Accepting new patients

Locations

3501 Johnson St
Fl 3
Hollywood, FL 33021
Phone (954) 265-9976

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

Interoperability endpoints

  • Direct secure messaging: nicole.cohen@hca4.eclinicaldirectplus.com
  • Direct secure messaging: ncohen348524@mhsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1376999656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 IVES DAIRY RD",
            "address_2": "APT F-406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795486",
            "telephone_number": "786-489-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801495",
            "telephone_number": "305-962-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "NICOLE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME147846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.