Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Ann Kogan

Individual provider Physician Assistant · NPI 1679124861

Mary Ann Kogan is a Physician Assistant in Boca Raton, Florida. Qualified in 2019, 7 years ago. Practices with Specialtycare Surgical Assist, LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

621 NW 53rd St Ste 330
Boca Raton, FL 33487-8281
Phone: (800) 488-0279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9112615 (FL)

Record details

NPI number1679124861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2019
Last updated in NPPESSeptember 27, 2019
Mailing address20301 Ne 30th Ave Apt 212, Aventura, FL 33180-1572

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Specialtycare Surgical Assist, Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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