Individual provider Active NPI

Jacob Cohen, MD

  • Urology Physician
  • Hialeah, FL
National Provider Identifier
1871527432
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME 0047539 Issued in FL
Practice address
777 E 25TH St Ste 418
Hialeah, FL 33013-3835
Phone
(305) 531-7078
Fax
(305) 356-1404
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME 0047539 FL Primary

Addresses

Primary practice location

777 E 25TH St Ste 418
Hialeah, FL 33013-3835

Mailing address

PO Box 370745
Miami, FL 33137-0745
Phone (305) 531-7078

Other identifiers 1

IdentifierTypeStateIssuer
035646800MedicaidFL

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
I20070509000328 FL Practitioner - Urology 2567568405 Reassigns benefits to 1 organization
Practice locations: Miami, FL; Miami Lakes, FL; South Miami, FL; Hialeah, FL

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Nw95Th St
Miami, FL 33150-2038
Phone (305) 835-6000

1475 W 49TH PL
Hialeah, FL 33012-3113
Phone (305) 558-2500

2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000

651 E 25 St
Hialeah, FL 33013-3814
Phone (305) 693-6100

777 E 25TH St
Hialeah, FL 33013-3835
Phone (305) 531-7078

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection96
Melanoma (skin cancer) excision1-10
Removal of tissue14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0047539FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services - Urology Division LLC Urology CurrentSince Jun 18, 2024 Accepting new patients
Jacob Cohen MD PA Urology PastSince Jan 8, 2023 Accepting new patients

Locations

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1672963200000",
    "number": "1871527432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370745",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331370745",
            "telephone_number": "305-531-7078",
            "fax_number": "305-356-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 418",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133835",
            "telephone_number": "305-531-7078",
            "fax_number": "305-356-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME 0047539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035646800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.