Active NPI
Howard Kotkin, D.D.S.
- Pediatric Dentistry
- Chatham, NJ
National Provider Identifier
1205950938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DI018633
- Practice address
- 33 Main St Ste 203
Chatham, NJ 07928-2433 - Phone
- (973) 635-6444
- Fax
- (973) 635-6475
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DI018633 | NJ | Primary |
Addresses
Primary practice location
33 Main St Ste 203
Chatham, NJ 07928-2433
Mailing address
33 Main St Ste 203
Chatham, NJ 07928-2433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1223P0221X | Other | NJ | PEDIATRIC DENTIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI018633 | NJ | MD | Pediatric Dentist |
Interoperability endpoints
- hkotkin191553@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205950938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MAIN ST STE 203",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079282433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MAIN ST STE 203",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079282433",
"telephone_number": "973-635-6444",
"fax_number": "973-635-6475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTKIN",
"first_name": "HOWARD",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "DI018633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRIC DENTIST",
"identifier": "1223P0221X",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.