Active NPI
Leon a Cohen, M.D. PA
- Specialist
- Merritt Island, FL
National Provider Identifier
1851663348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME50207
- Legal business name
- LEON A COHEN, M.D. PA
- Practice address
- 375 S Courtenay Pkwy
Suite 1
Merritt Island, FL 32952-4868 - Phone
- (321) 453-3420
- Fax
- (321) 453-8262
- NPI assigned
- Jan 31, 2012
- 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
- Dr. Leon Alan Cohen, M.D.
- Title
- President/Medical Doctor
- Phone
- (321) 453-3420
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME50207 | FL | Primary |
Addresses
Primary practice location
375 S Courtenay Pkwy
Suite 1
Merritt Island, FL 32952-4868
Mailing address
375 S Courtenay Pkwy
Suite 1
Merritt Island, FL 32952-4868
Phone (321) 453-3420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046926200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
375 S Courtenay Pkwy
Ste 1
Merritt Island, FL 32952
Phone (321) 453-3420
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Merritt Island, FL
- NPI 1558329607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332720000000",
"number": "1851663348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 S COURTENAY PKWY",
"address_2": "SUITE 1",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329524868",
"telephone_number": "321-453-3420",
"fax_number": "321-453-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 S COURTENAY PKWY",
"address_2": "SUITE 1",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329524868",
"telephone_number": "321-453-3420",
"fax_number": "321-453-8262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEON A COHEN, M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-31",
"last_updated": "2012-03-26",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "LEON",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT/MEDICAL DOCTOR",
"authorized_official_telephone_number": "321-453-3420",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME50207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046926200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.