Leonid Kotkin, M.D., P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

200208861 Issued in MA

Legal business name

LEONID KOTKIN, M.D., P.C.

Practice address

280 Washington St
Ste. 207
Brighton, MA 02135-3511

Phone

(617) 783-8875

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leonid Kotkin, M.D.

Title

President

Phone

(617) 783-8875

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1922112762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN ST",
            "address_2": "STE. 670",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081604",
            "telephone_number": "508-754-3566",
            "fax_number": "508-438-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WASHINGTON ST",
            "address_2": "STE. 207",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353511",
            "telephone_number": "617-783-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONID KOTKIN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "KOTKIN",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-783-8875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MA",
            "license": "200208861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9755161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew T Lemaitre, M.D.
• Rebecca Lember, M.S., CCC-SLP
• Yuliana Leon
• Alexandra Leonard, LCSW
• Leonid G Zolotnitskiy MD PC
• Stacey A Lerager, NP
• Mariam Lesko
• John Leso, DO
• Edwin Leung, LCSW
• Howard J Leung, MD

• Urology Physician in Brighton, MA
• Providers in Brighton, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.