Organization Active NPI

Aota

Doing business as Cota

  • Health Maintenance Organization
  • Monroe, NY
National Provider Identifier
1871961268
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
004814-1 Issued in NY
Legal business name
AOTA
Doing business as
Cota
Practice address
27 Lake St
Monroe, NY 10950-3521
Phone
(845) 492-6752
NPI assigned
Sep 2, 2015
Last updated
Sep 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Ms. Vicki Deross, COTA
Title
Cota
Phone
(845) 492-6752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 004814-1 NY Primary

Addresses

Primary practice location

27 Lake St
Monroe, NY 10950-3521

Mailing address

PO Box 1394
Greenwood Lake, NY 10925-1394
Phone (845) 492-6752

Other identifiers 1

IdentifierTypeStateIssuer
0048141OtherNYCOTA

Other names 1

  • COTA Doing business as

National Provider Directory

National Provider Directory

Locations

27 Lake St
Monroe, NY 10950
Phone (845) 492-6752

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1871961268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1394",
            "city": "GREENWOOD LAKE",
            "state": "NY",
            "postal_code": "109251394",
            "telephone_number": "845-492-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LAKE ST",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503521",
            "telephone_number": "845-492-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "DEROSS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "845-492-6752",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "004814-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA",
            "identifier": "0048141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.