Organization Active NPI

Stephen a Kotzen MD PA

  • Infectious Disease Physician
  • North Miami Beach, FL
National Provider Identifier
1962683136
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0012336 Issued in FL
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

Updated by the provider on Nov 30, 2007

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.