Adam David Cotter, PA - C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

1175 Montauk Hwy Ste No3
West Islip, NY 11795-4939

Phone

(631) 500-9400

NPI assigned

Feb 23, 2018

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: acotter308063@nyumc.direct-ci.com

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.

• Nitin Mariwalla MD PLLC

  • Neurological Surgery Physician
  • West Islip, NY
  • NPI 1659943942
  Medicare reassignment

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1669973798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 N WINDSOR AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064811",
            "telephone_number": "631-521-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY STE NO3",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "631-500-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Conwell, MOTR/L
• Clayton Reid Coover, MD
• Aubrey Elaine Cornell, PA-C
• Maureen Corry, MD
• Joseph Thomas Costello, PH.D.
• Matthew Cotter, DO
• Christian Cotumaccio, LCAT
• Dawn Marie Coughlin, MA/CCC-SLP
• Ronald Charles Craig, MD
• Vanessa Linda Louise Crain, MD

• Surgical Physician Assistant in West Islip, NY
• Providers in West Islip, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.