Individual provider Active NPI

Michael Menashe Cohen, DPM

  • Podiatrist
  • Coral Springs, FL
National Provider Identifier
1568457588
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P0001763 Issued in FL
Practice address
1725 University Dr
Ste 302
Coral Springs, FL 33071-6089
Phone
(954) 245-5223
Fax
(954) 345-9985
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P0001763 FL Primary
Podiatrist 213E00000X E3281 CA

Addresses

Primary practice location

1725 University Dr
Ste 302
Coral Springs, FL 33071-6089

Mailing address

1725 N University Dr
Ste 302
Coral Springs, FL 33071-6089
Phone (954) 245-5223

Other identifiers 1

IdentifierTypeStateIssuer
65099OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3281CAMDPodiatrist
P0001763FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Ankle & Leg Specialists of South Florida Inc PastSince Apr 15, 2021 Accepting new patients
Sports Medicine Associates of South Florida, P.a. PastSince Jul 1, 1998 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.cohen.1@2517.direct.athenahealth.com

Organizations & group practices 2

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1568457588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR",
            "address_2": "STE 302",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716089",
            "telephone_number": "954-245-5223",
            "fax_number": "954-345-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 UNIVERSITY DR",
            "address_2": "STE 302",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716089",
            "telephone_number": "954-245-5223",
            "fax_number": "954-345-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAEL",
        "middle_name": "MENASHE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P0001763",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65099",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.