Jeffrey David Cohen, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 3582 Issued in FL

Practice address

55 Cambridge LN
Boynton Beach, FL 33436-6216

Phone

(305) 458-4788

NPI assigned

Mar 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426982400000",
    "number": "1972563658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CAMBRIDGE LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366216",
            "telephone_number": "305-458-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CAMBRIDGE LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366216",
            "telephone_number": "305-458-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2015-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 3582",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005275-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cogent Healthcare of Pensacola LLC
• Aaron Joshua Cohen, PA-C
• Chana Cohen, LCSW
• Debra Anne Cohen, PH.D.
• Howell Warren Cohen, O.D.
• Kimara S Cohen, OT
• Lisa Rebecca Cohen, PA-C
• Richard J Cohen, O.D.
• Carly Colella, DPT
• Caitlin Rose Colleary, RD

• Medical Physician Assistant in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; 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.