Individual provider Active NPI

David Nicolas Cotos-Mejia, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1467452060
Registry record updated Feb 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
199253 Issued in NY
Practice address
416 37TH St
Brooklyn, NY 11232-2510
Phone
(718) 965-3738
Fax
(718) 965-2423
NPI assigned
Jul 26, 2005
Last updated
Feb 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 199253 NY Primary

Addresses

Primary practice location

416 37TH St
Brooklyn, NY 11232-2510

Mailing address

416 37TH St
Brooklyn, NY 11232-2510
Phone (718) 965-3738

Other identifiers 2

IdentifierTypeStateIssuer
685191OtherEMPIRE BLUE SHIELD
01643172MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
199253NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328313600000",
    "number": "1467452060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 37TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322510",
            "telephone_number": "718-965-3738",
            "fax_number": "718-965-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 37TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322510",
            "telephone_number": "718-965-3738",
            "fax_number": "718-965-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTOS-MEJIA",
        "first_name": "DAVID",
        "middle_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "199253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE SHIELD",
            "identifier": "685191",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01643172",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; 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.