Individual provider Active NPI

Judith Ann Cotov, MD

  • Internal Medicine Physician
  • Long Branch, NJ
National Provider Identifier
1891763660
Registry record updated Feb 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05005800 Issued in NJ
Practice address
270 Broadway
Long Branch, NJ 07740-7027
Phone
(732) 923-7100
Fax
(732) 923-7104
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05005800 NJ Primary

Addresses

Primary practice location

270 Broadway
Long Branch, NJ 07740-7027

Mailing address

270 Broadway
Long Branch, NJ 07740-7027
Phone (732) 923-7100

Other identifiers 1

IdentifierTypeStateIssuer
1473301MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810001074 NJ Practitioner - Internal Medicine 6709858798 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Family Health Center, Inc. CurrentSince Oct 17, 2010 Accepting new patients
Monmouth Family Health Center Inc Current Accepting new patients
Monmouth Family Health Center, Inc CurrentSince Oct 17, 2010 Accepting new patients

Locations

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

270 Broadway
Long Branch, NJ 07740
Phone (732) 923-7100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266105600000",
    "number": "1891763660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077407027",
            "telephone_number": "732-923-7100",
            "fax_number": "732-923-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077407027",
            "telephone_number": "732-923-7100",
            "fax_number": "732-923-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTOV",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05005800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.