Brett Seth Kotlus, M.D.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

231319 Issued in NY

Practice address

20 E 66TH St
New York, NY 10065-6531

Phone

(917) 783-1199

Fax

(646) 751-8746

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deborah J Lipson MD PC

  • Ophthalmology Physician
  • Scarsdale, NY
  • NPI 1730350612
  NPD (past)
• Scarsdale Ophthalmology Associates PLLC

  • Ophthalmology Physician
  • Scarsdale, NY
  • NPI 1104893262
  NPD (past)
• Vein Center at Allure Medical Spa, PLLC

  • Surgery Physician
  • Shelby Township, MI
  • NPI 1457302051
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1093705683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E 66TH STREET",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-882-1011",
            "fax_number": "646-751-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656531",
            "telephone_number": "917-783-1199",
            "fax_number": "646-751-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLUS",
        "first_name": "BRETT",
        "middle_name": "SETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "231319",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "231319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Kotler, SLP
• Josh Kotler, OT
• Lauren Kotler, LMSW
• Lauren Jennifer Kotler
• Susan Ann Kotlier, M.D.
• Kotlyar Medical PC
• Joshua Kotlyar, MD
• Vitaly Kotlyar, M.D.
• Nicole Kotnik, PHARMD
• Alexander Kotov, NP

• Ophthalmic Plastic and Reconstructive Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.