Individual provider Active NPI

Mohy Eldin A Kotb, MD

  • Pediatric Cardiology Physician
  • Hoboken, NJ
National Provider Identifier
1871739748
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
25MA09556600 Issued in NJ
Practice address
36-42 Newark St Ste 302
Hoboken, NJ 07030-5655
Phone
(201) 533-0222
Fax
(201) 533-0223
NPI assigned
Dec 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 25MA09556600 NJ Primary

Addresses

Primary practice location

36-42 Newark St Ste 302
Hoboken, NJ 07030-5655

Mailing address

36-42 Newark St Ste 302
Hoboken, NJ 07030-5655
Phone (201) 533-0222

Other identifiers 1

IdentifierTypeStateIssuer
0434370MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09556600NJMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Hudson Pediatric Cardiology Center Inc. CurrentSince Mar 12, 2024 Accepting new patients
Hudson Pediatric Neurology Center, LLC PastSince Jul 1, 2018 Accepting new patients

Locations

33-41 Newark St
Ste 4C
Hoboken, NJ 07030
Phone (201) 892-2938

36-42 Newark St
Ste 302
Hoboken, NJ 07030
Phone (201) 533-0222

Interoperability endpoints

  • Direct secure messaging: mohyeldin.kotb@direct.hobokenumc.md
  • FHIR API: https://api.platform.athenahealth.com/16695/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1871739748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36-42 NEWARK ST STE 302",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305655",
            "telephone_number": "201-533-0222",
            "fax_number": "201-533-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36-42 NEWARK ST STE 302",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305655",
            "telephone_number": "201-533-0222",
            "fax_number": "201-533-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTB",
        "first_name": "MOHY ELDIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-26",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NJ",
            "license": "25MA09556600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434370",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.