Amy Meyerson Kotliar, LCSW, ACHP-SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05681600 Issued in NJ

Practice address

999 Richard CT
Teaneck, NJ 07666-5511

Phone

(201) 370-5131

NPI assigned

Jun 7, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1730538190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076660022",
            "telephone_number": "201-370-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 RICHARD CT",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665511",
            "telephone_number": "201-370-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERSON KOTLIAR",
        "first_name": "AMY",
        "credential": "LCSW, ACHP-SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05681600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "44SC05681600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metrohealth LLC Laboratory
• Metropolitan Pediatric Group
• Benjamin Abel Meyer, LCSW
• Sara Meyer, MD
• Jay S Meyerowitz, MD
• Leonard Jack Meyerson, PH.D.
• Mi Medical Supplies LLC
• Philip L Micale, M.D.
• Michael a Newdow MD PA
• Michael G Kailas

• Clinical Social Worker in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.