Justin A Kotler, MS, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

967514 Issued in MD

Practice address

867 E Lombard St
Baltimore, MD 21202-4510

Phone

(410) 409-6992

NPI assigned

Oct 28, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1790085454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024510",
            "telephone_number": "410-409-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024510",
            "telephone_number": "410-409-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLER",
        "first_name": "JUSTIN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MS, RD, CDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "967514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Lynn Kothari, DNP, FNP-C
• Ruchita Kothari
• Azra Sufyan Kothawala, MBBS
• Sandy Diana Kotiah, M.D.
• Frederick Bruce Kotler, M.D.
• Alexandra Eileen Kotlinski
• Ethan Kotloff, MD
• Karen L Kotloff, MD
• Kaleigh Camden Kotula
• Susrutha Kotwal, MD

• Registered Dietitian in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.