Individual provider Active NPI

Elliot Samuel Cohen, M.D.

  • Rheumatology Physician
  • Delray Beach, FL
National Provider Identifier
1942494810
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME O36592 Issued in FL
Practice address
15300 S Jog Rd
108
Delray Beach, FL 33446-2162
Phone
(561) 742-5959
Fax
(561) 734-2226
NPI assigned
Sep 4, 2007
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME O36592 FL Primary

Addresses

Primary practice location

15300 S Jog Rd
108
Delray Beach, FL 33446-2162

Mailing address

681Ne30Th PL
Boca Raton, FL 33431-6947
Phone (561) 955-8866

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
I20090310000163 FL Practitioner - RheumatologyPractitioner - Internal Medicine 9335041391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Hahnemann University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Palm Orthospine InstituteGroup PAC ID 4587765433, 4 clinicians

Practice addresses (Care Compare)

15300 S Jog Rd
Suite 107108
Delray Beach, FL 33446-2162
Phone (561) 742-5959

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME O36592FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Palm Orthospine Institute CurrentSince Jul 1, 2016 Accepting new patients
South Palm Orthospine Institute CurrentSince Jul 1, 2016 Accepting new patients

Locations

15300 S Jog Rd
Ste 108
Delray Beach, FL 33446
Phone (561) 430-4610

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1942494810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681NE30TH PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316947",
            "telephone_number": "561-955-8866",
            "fax_number": "561-955-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 S JOG RD",
            "address_2": "108",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462162",
            "telephone_number": "561-742-5959",
            "fax_number": "561-734-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ELLIOT",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME O36592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.