Individual provider Active NPI

Randolph Cohen, MD

  • Pediatric Orthopaedic Surgery Physician
  • Coral Springs, FL
National Provider Identifier
1740282292
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
ME76715 Issued in FL
Practice address
5830 Coral Ridge Dr Ste 207
Coral Springs, FL 33076
Phone
(954) 265-6300
Fax
(954) 961-3600
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X ME76715 FL Primary

Addresses

Primary practice location

5830 Coral Ridge Dr Ste 207
Coral Springs, FL 33076

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

9291 Glades Rd Ste 202
Boca Raton, FL 33434-3959
Phone (954) 265-6300

Other identifiers 1

IdentifierTypeStateIssuer
255322800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcohen9460@MHSDIRECT.NET Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20111230000347 FL Practitioner - Orthopedic Surgery 9032385752 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME76715FLMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Pediatric Orthopaedic Surgery CurrentSince Jan 2, 2017 Accepting new patients
South Broward Hospital District CurrentSince Oct 5, 2011 Accepting new patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District CurrentSince Oct 5, 2011 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

9291 Glades Rd
Ste 202
Boca Raton, FL 33434
Phone (954) 265-2234

5830 Coral Ridge Dr
Ste 207
Coral Springs, FL 33076
Phone (954) 501-0505

3440 Hollywood Blvd
Ste 140
Hollywood, FL 33021
Phone (954) 276-9276

1150 N 35th Ave
Ste 170
Hollywood, FL 33021
Phone (954) 985-1500

1150 N 35th Ave
Ste 345
Hollywood, FL 33021
Phone (954) 986-6300

1971 SW 172nd Ave
Ste 2600
Miramar, FL 33029

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

Interoperability endpoints

  • Direct secure messaging: rcohen9460@mhsdirect.net

Organizations & group practices 5

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1740282292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 CORAL RIDGE DR STE 207",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33076",
            "telephone_number": "954-265-6300",
            "fax_number": "954-961-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9291 Glades Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334343959",
            "country_code": "US",
            "telephone_number": "954-265-6300",
            "fax_number": "954-961-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RANDOLPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": "ME76715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255322800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcohen9460@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9291 Glades Rd Ste 202",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334343959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.