Organization Active NPI

Physicians Group of South Florida PA

  • Gastroenterology Physician
  • North Miami, FL
National Provider Identifier
1932185238
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME39020 Issued in FL
Legal business name
PHYSICIANS GROUP OF SOUTH FLORIDA PA
Practice address
1801 NE 123Rd St Ste 405
North Miami, FL 33181-2884
Phone
(305) 674-5925
Fax
(305) 674-5927
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Jane S Cohen, MDNPI 1417953514
Title
Coo
Phone
(305) 674-5925

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME39020 FL
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X ME39020 FL Primary

Addresses

Primary practice location

1801 NE 123Rd St Ste 405
North Miami, FL 33181-2884

Mailing address

4300 Alton Rd
#810
Miami Beach, FL 33140-2800
Phone (305) 674-5925

Other identifiers 1

IdentifierTypeStateIssuer
353372300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914001368 FL Part B Supplier - Clinic/Group Practice 8820065295 Receives reassigned benefits from 15 practitioners
Practice locations: North Miami, FL; Miami Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2033357Physicians Group of South Florida PA1801 NE 123Rd St - Ste 405, North Miami, FL 33181Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

Locations

4300 Alton Rd
Ste 810
Miami Beach, FL 33140
Phone (305) 673-0797

4300 Alton Rd
#810
Miami Beach, FL 33140

1801 NE 123rd St
Ste 405
North Miami, FL 33181
Phone (305) 674-5925

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61137

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1932185238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "#810",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-674-5925",
            "fax_number": "305-674-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NE 123RD ST STE 405",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812884",
            "telephone_number": "305-674-5925",
            "fax_number": "305-674-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS GROUP OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-674-5925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME39020",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME39020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353372300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.