Active NPI
Stephen A Kotzen, MD PA
- Infectious Disease Physician
- North Miami Beach, FL
National Provider Identifier
1730113572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME0012336
- Practice address
- 100 NW 170TH St
Ste 405
North Miami Beach, FL 33169 - Phone
- (305) 653-5456
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME0012336 | FL | Primary |
Addresses
Primary practice location
100 NW 170TH St
Ste 405
North Miami Beach, FL 33169
Mailing address
100 NW 170TH St
Ste 405
North Miami Beach, FL 33169
Phone (305) 653-5456
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, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0012336 | FL | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1730113572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NW 170TH ST",
"address_2": "STE 405",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33169",
"telephone_number": "305-653-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NW 170TH ST",
"address_2": "STE 405",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33169",
"telephone_number": "305-653-5456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTZEN",
"first_name": "STEPHEN",
"middle_name": "A",
"credential": "MD PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME0012336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.