NPIMap

Individual provider Active NPI

Harold Mark Cotler, D.O.

  • Family Medicine Physician
  • Wall Township, NJ
National Provider Identifier
1659355832
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB38353 Issued in NJ
Practice address
1937 Hwy 35
Suite 2
Wall Township, NJ 07719-3512
Phone
(732) 449-0914
Fax
(732) 449-5437
NPI assigned
Dec 1, 2005
Last updated
May 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 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 MB38353 NJ Primary

Addresses

Primary practice location

1937 Hwy 35
Suite 2
Wall Township, NJ 07719-3512

Mailing address

306 Monmouth Ave
Bradley Beach, NJ 07720-1147
Phone (732) 449-0914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000724 NJ Practitioner - Family PracticePractitioner - Emergency Medicine 9638349145 Reassigns benefits to 1 organization
Practice locations: Wall Township, NJ

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cotler Family Practice, LLCGroup PAC ID 5395073621, 3 clinicians

Practice addresses (Care Compare)

1937 Rte
35 Suite 2
Wall Township, NJ 07719-3560
Phone (732) 449-0914

1945 Route 33
Neptune, NJ 07753-4859
Phone (732) 775-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB38353NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Family Practice, LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

1937 State Route 35
Wall Township, NJ 07719
Phone (732) 449-0914

1937 State Route 35
Ste 2
Wall Township, NJ 07719
Phone (732) 449-0914

Interoperability endpoints

  • Direct secure messaging: harold.cotler.1@15015.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1659355832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MONMOUTH AVE",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201147",
            "telephone_number": "732-449-0914",
            "fax_number": "732-449-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 HWY 35",
            "address_2": "SUITE 2",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193512",
            "telephone_number": "732-449-0914",
            "fax_number": "732-449-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTLER",
        "first_name": "HAROLD",
        "middle_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB38353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.