Organization Active NPI

Carlos Cohen, MD PA

  • Dermatology Physician
  • Aventura, FL
National Provider Identifier
1699972463
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CARLOS COHEN, MD PA
Practice address
2999 NE 191St St Ste 260
Aventura, FL 33180-4925
Phone
(954) 436-2200
Fax
(954) 436-2262
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Carlos Cohen, MDNPI 1194749259
Title
Owner
Phone
(954) 436-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2999 NE 191St St Ste 260
Aventura, FL 33180-4925

Mailing address

2999 NE 191St St Ste 260
Aventura, FL 33180-4925
Phone (954) 436-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000194 FL Part B Supplier - Clinic/Group Practice 2466493614 Receives reassigned benefits from 1 practitioner
Practice locations: Aventura, FL

National Provider Directory

National Provider Directory

Locations

17900 NW 5th St
Ste 204
Pembroke Pines, FL 33029
Phone (305) 222-7082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1699972463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST ST STE 260",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804925",
            "telephone_number": "954-436-2200",
            "fax_number": "954-436-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST ST STE 260",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804925",
            "telephone_number": "954-436-2200",
            "fax_number": "954-436-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS COHEN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-436-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.