Active NPI
Jeffrey H Kotzen, M.D.
- Obstetrics & Gynecology Physician
- Palm Beach Gardens, FL
National Provider Identifier
1669412730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME39811
- Practice address
- 4280 Professional Center Dr
Suite 300
Palm Beach Gardens, FL 33410-4280 - Phone
- (561) 748-2889
- Fax
- (561) 748-1523
- NPI assigned
- Jun 7, 2006
- Last updated
- Jul 23, 2015
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME39811 | FL | Primary |
Addresses
Primary practice location
4280 Professional Center Dr
Suite 300
Palm Beach Gardens, FL 33410-4280
Mailing address
4280 Professional Center Dr
Suite 300
Palm Beach Gardens, FL 33410-4280
Phone (561) 748-2889
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME39811 | FL | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- jkotzen20211@jupitermedicalcenter.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1669412730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4280 PROFESSIONAL CENTER DR",
"address_2": "SUITE 300",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104280",
"telephone_number": "561-748-2889",
"fax_number": "561-748-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 PROFESSIONAL CENTER DR",
"address_2": "SUITE 300",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104280",
"telephone_number": "561-748-2889",
"fax_number": "561-748-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTZEN",
"first_name": "JEFFREY",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME39811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.