Active NPI
Stephen a Kotzen MD PA
- Infectious Disease Physician
- North Miami Beach, FL
National Provider Identifier
1962683136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME0012336
- Legal business name
- STEPHEN A KOTZEN MD PA
- Practice address
- 100 NW 170TH St
Suite 405
North Miami Beach, FL 33169-5513 - Phone
- (305) 653-5456
- Fax
- (305) 652-3867
- NPI assigned
- Nov 16, 2007
- 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
- Stephen A Kotzen, M.D,PA
- Title
- President
- Phone
- (305) 653-5456
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME0012336 | FL | Primary |
Addresses
Primary practice location
100 NW 170TH St
Suite 405
North Miami Beach, FL 33169-5513
Mailing address
100 NW 170TH St
Suite 405
North Miami Beach, FL 33169-5513
Phone (305) 653-5456
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1962683136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NW 170TH ST",
"address_2": "SUITE 405",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695513",
"telephone_number": "305-653-5456",
"fax_number": "305-652-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NW 170TH ST",
"address_2": "SUITE 405",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695513",
"telephone_number": "305-653-5456",
"fax_number": "305-652-3867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN A KOTZEN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "KOTZEN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-653-5456",
"authorized_official_credential": "M.D,PA"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME0012336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.