Kenneth Scott Cohen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME067154 Issued in FL

Practice address

4972 Town Center Pkwy Ste 301
Jacksonville, FL 32246-8595

Phone

(904) 642-6100

Fax

(904) 642-5154

NPI assigned

Aug 30, 2006

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Pediatric Medicine

Education

University of Miami, LM Miller School of Medicine, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcohen663272@direct.medicine.duke.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  Medicare reassignment NPD
• Duke University Health System, Inc.

  dba Durham Regional Hospital

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1376574798
  Medicare reassignment NPD
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC

  dba Pediatric Associates

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1679349716
  NPD
• Duke University Health System, Inc.

  dba Duke Home Infusion

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Durham, NC
  • NPI 1427187525
  NPD
• Duke University Health System, Inc.

  dba Duke Raleigh Hospital

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1477584894
  NPD
• Pediatric Associates of NE Florida, LLC

  dba Jacksonville Pediatric Associates

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1801216155
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1437269594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD",
            "address_2": "SUITE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243920",
            "telephone_number": "904-642-6100",
            "fax_number": "904-642-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 TOWN CENTER PKWY STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468595",
            "telephone_number": "904-642-6100",
            "fax_number": "904-642-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME067154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252336100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenneth.cohen@pedsassoc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4972 Town Center Pkwy Ste 301",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322468595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dan Cohen
• Gwendy Nan Cohen, PSY.D.
• Hannah Cohen, M.ED, BCBA
• Jesse Scott Cohen
• Katherine Piper Cohen
• Melanie Cohen, PT, DPT
• Pesach Aryeh Cohen, M.D.
• Shantell M Cohen
• Stephanie Cohen
• Stephanie Rachel Cohen

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.