Joan M Kotan, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

217431-1 Issued in NY

Practice address

689 Jericho Tpke
Huntington Station, NY 11746-7501

Phone

(631) 854-4400

Fax

(631) 854-4411

NPI assigned

Mar 29, 2007

Sex

Female

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

Registered Nurse

State licenses

Practice roles

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.

• County of Suffolk

  • Methadone Clinic
  • Smithtown, NY
  • NPI 1649374851
  NPD (past)
• County of Suffolk

  • Methadone Clinic
  • Huntington Station, NY
  • NPI 1891897781
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497874341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NATHAN PL",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463225",
            "telephone_number": "631-421-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467501",
            "telephone_number": "631-854-4400",
            "fax_number": "631-854-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTAN",
        "first_name": "JOAN",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "217431-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Anne Klimek, MT-BC, LCAT
• Amanda Rose Knee
• Michelle Kobbe, D.C.
• Melissa Chelsi Konakli
• Ashley Kornblum
• Ellen Anne Kott, MASSAGE THERAPIST
• Mitchell S Kramer, MD
• Leslie Jill Kraut, LMSW
• Krychiw Psychological Services, PLLC
• Robert Kuck

• Addiction (Substance Use Disorder) Registered Nurse in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New York

• 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.

Verify at the official NPI Registry.