Individual provider Active NPI

Michael J. Kotch, M.D.

  • Ophthalmology Physician
  • Linden, NJ
National Provider Identifier
1194881607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA39029 Issued in NJ
Practice address
1905 N Wood Ave
Linden, NJ 07036-3737
Phone
(908) 925-2020
Fax
(908) 925-3373
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA39029 NJ Primary

Addresses

Primary practice location

1905 N Wood Ave
Linden, NJ 07036-3737

Mailing address

1905 N Wood Ave
Linden, NJ 07036-3737
Phone (908) 925-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120106000015 NJ Practitioner - Ophthalmology 5496921850 Practice locations: Linden, NJ

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rowan University School of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1905 N Wood Ave
Linden, NJ 07036-3737
Phone (908) 925-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA39029NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Institute of Central New Jersey, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194881607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070363737",
            "telephone_number": "908-925-2020",
            "fax_number": "908-925-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070363737",
            "telephone_number": "908-925-2020",
            "fax_number": "908-925-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTCH",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA39029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.