Individual provider Active NPI

Michelle Chan Cottino, PHARMD, BCACP

  • Ambulatory Care Pharmacist
  • New Providence, NJ
National Provider Identifier
1174270599
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
28RI03962100 Issued in NJ
Practice address
121 Chanlon Rd FL 2
New Providence, NJ 07974-1543
Phone
(908) 219-6744
NPI assigned
Mar 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 28RI03962100 NJ
Ambulatory Care Pharmacist 1835P2201X 28RI03962100 NJ Primary

Addresses

Primary practice location

121 Chanlon Rd FL 2
New Providence, NJ 07974-1543

Mailing address

121 Chanlon Rd FL 2
New Providence, NJ 07974-1543
Phone (908) 219-6744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03962100NJMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1174270599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CHANLON RD FL 2",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741543",
            "telephone_number": "908-219-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CHANLON RD FL 2",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741543",
            "telephone_number": "908-219-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTINO",
        "first_name": "MICHELLE",
        "middle_name": "CHAN",
        "credential": "PHARMD, BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NJ",
            "license": "28RI03962100",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NJ",
            "license": "28RI03962100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.