William Kotkin

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

060006 Issued in NY

Practice address

18947 John J Williams Hwy Unit 309
Rehoboth Beach, DE 19971-4477

Phone

(302) 644-4460

Fax

(302) 644-4470

NPI assigned

Feb 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Dicerbo & Irving LLC

  dba Coastal Kids Pediatric Dentistry

  • Pediatric Dentistry
  • Seaford, DE
  • NPI 1083548580
  NPD (past)
• Kidzdent Childrens Dental Center LLC

  • Dentist
  • Old Bridge, NJ
  • NPI 1053026799
  NPD (past)
• Kidzdent-Childrens Dental Care

  • Dental Clinic/Center
  • Old Bridge, NJ
  • NPI 1205028917
  NPD (past)

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1770021800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26910 GRAND CENTRAL PKWY APT 28S",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110051028",
            "telephone_number": "516-567-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 309",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714477",
            "telephone_number": "302-644-4460",
            "fax_number": "302-644-4470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Route 516",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088571892",
            "country_code": "US",
            "telephone_number": "732-679-2323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27005 76th Ave",
            "address_2": "Department of Dental Medicine Northwell Health",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401402",
            "country_code": "US",
            "telephone_number": "718-470-4120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTKIN",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "060006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Kirch
• Elisabeth Klein, DNP
• Daniel A Kleiner, PSYD
• Susan Knight, RESPIRATORY CARE RRT
• Victoria Konnyu
• Teodor Kouzov, MD
• Brenda C Kriegel, LCSW
• Kronos Physical Therapy LLC
• Madeline Ashley Kuchta, PA-C
• Kyle John Lambert, APRN, FNP-BC

• Pediatric Dentistry in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Pediatric Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.