Active NPI
Bogdan-Gabriel Cozmuta, PA-C
- Physician Assistant
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9111486
- Practice address
- 400 8TH Street North
Naples, FL 34102-7906 - Phone
- (239) 241-7722
- Fax
- (239) 529-6629
- NPI assigned
- Sep 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9111486 | FL | Primary |
Addresses
Primary practice location
400 8TH Street North
Naples, FL 34102-7906
Mailing address
2675 Winkler Ave 2ND Floor
Fort Myers, FL 33901-1977
Phone (877) 856-3774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
400 8th St N
Naples, FL 34102
Phone (239) 261-5511
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Internal Medicine Physician
- Plantsville, CT
- NPI 1548305584
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
- Urgent Care Clinic/Center
- Bridgeport, CT
- NPI 1487087250
-
dba PCA Pain Care Center
- Interventional Pain Medicine Physician
- Wallingford, CT
- NPI 1275804189
-
dba Priority Urgent Care
- Urgent Care Clinic/Center
- Ellington, CT
- NPI 1295186286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1902208077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE 2ND FLOOR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339011977",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 8TH STREET NORTH",
"city": "NAPLES",
"state": "FL",
"postal_code": "341027906",
"telephone_number": "239-241-7722",
"fax_number": "239-529-6629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZMUTA",
"first_name": "BOGDAN-GABRIEL",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-20",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9111486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.