Mary J. Kotob, MD, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MARY J. KOTOB, MD, INC

Practice address

400 Newport Center Dr Ste 202
Newport Beach, CA 92660-7639

Phone

(949) 520-7774

Fax

(949) 520-7731

NPI assigned

Apr 15, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Mary J Kotob, MDNPI 1447301965

Title

Owner

Phone

(714) 357-3202

Specialties & licenses 1

Addresses

Other names 1

• Dr Mary J Kotob Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Judith Kotob, MD

  • Gynecology Physician
  • Newport Beach, CA
  • NPI 1447301965
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1083400220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607639",
            "telephone_number": "949-520-7774",
            "fax_number": "949-520-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607639",
            "telephone_number": "949-520-7774",
            "fax_number": "949-520-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY J. KOTOB, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "KOTOB",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-357-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Mary J Kotob",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Martinez, LMFT
• Tony Martinez
• Laurel Bailey Martini, D.O.
• Nicolai Amir Marvin
• Mary J. Deane, a Marriage and Family Therapy Corporation
• Sadaf Marzban
• Tricia Marzullo
• Halonna Aliyanette Mascareno
• Anthony J. Mascola, MD
• Lori Lynn Mase, PSY.D.

• Medical Specialty Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.