Active NPI
Fred L Cohen MD PA
- Specialist
- Palm Beach Gardens, FL
National Provider Identifier
1760664494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- FRED L COHEN MD PA
- Practice address
- 11211 Prosperity Farms Rd
Suite C109
Palm Beach Gardens, FL 33410-3446 - Phone
- (561) 738-5095
- Fax
- (561) 738-5354
- NPI assigned
- Dec 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aggie M Lechon
- Title
- A/R
- Phone
- (561) 738-5095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
11211 Prosperity Farms Rd
Suite C109
Palm Beach Gardens, FL 33410-3446
Mailing address
11211 Prosperity Farms Rd
Suite C109
Palm Beach Gardens, FL 33410-3446
Phone (561) 738-5095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11211 Prosperity Farms Rd
Ste C109
Palm Beach Gardens, FL 33410
Phone (561) 627-5292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Palm Beach Gardens, FL
- NPI 1528146164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197936000000",
"number": "1760664494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 PROSPERITY FARMS RD",
"address_2": "SUITE C109",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103446",
"telephone_number": "561-738-5095",
"fax_number": "561-738-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 PROSPERITY FARMS RD",
"address_2": "SUITE C109",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103446",
"telephone_number": "561-738-5095",
"fax_number": "561-738-5354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED L COHEN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-18",
"status": "A",
"authorized_official_last_name": "LECHON",
"authorized_official_first_name": "AGGIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "A/R",
"authorized_official_telephone_number": "561-738-5095"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"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 Dec 18, 2007; 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.