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

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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