COGNITIVE NEUROLOGY CONSULTANTS PA – Behavioral Neurology & Neuropsychiatry Physician, NPI 1679018089
Behavioral Neurology & Neuropsychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for COGNITIVE NEUROLOGY CONSULTANTS PA
3469, North Dixie Highway, Coral Woods, Oakland Park, Broward County, Florida, 33334, United States
OAKLAND PARK, FL 333342872
Phone: (305) 912-4323
Type: Mailing
747 W 231ST ST
BRONX, NY 104631003
Phone: (305) 912-4323
Fax: (305) 395-4313
Type: Mailing
18 E 41ST ST FL 14
NEW YORK, NY 100176244
Phone: (305) 912-4323
Fax: (305) 395-4313
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (768 days ago).
Enrollment records
3
Earliest due date
2024-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170517002974 | O | Clinic/Group Practice | FL | 2024-04-30 |
| O20250925004210 | O | Clinic/Group Practice | NJ | TBD |
| O20260107000581 | O | Clinic/Group Practice | NY | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33334)
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