John Cota, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

PO9647 Issued in NY

Practice address

129 Saint Nicholas Ave
Brooklyn, NY 11237-4051

Phone

(718) 821-0643

Fax

(888) 732-7172

NPI assigned

Mar 13, 2018

Last updated

Mar 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1285137570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SAINT NICHOLAS AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374051",
            "telephone_number": "718-821-0643",
            "fax_number": "888-732-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374051",
            "telephone_number": "718-821-0643",
            "fax_number": "888-732-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTA",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "PO9647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Costello
• Patrick Costello
• Tatyahna Cayane Costello
• Alexandra Costescu, SLP-CCC
• Jeanine Costley, LCSQ
• Alexandra Cote, LMSW
• Caitlin Cote
• Ernest Cote, MHC
• Leah Rochel Cotlar
• David Nicolas Cotos-Mejia, M.D.

• Gastroenterology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.