Individual provider Active NPI

Caitlin C Otto, PHD

  • Clinical Laboratory Director (Non-physician)
  • Brooklyn, NY
National Provider Identifier
1922678861
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
License
OTTOC1 Issued in NY
Practice address
140 58TH St. Building a
Suite 8J
Brooklyn, NY 11220-2539
Phone
(888) 685-2885
NPI assigned
Jul 1, 2021
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician) 247ZC0005X OTTOC1 NY Primary

Addresses

Primary practice location

140 58TH St. Building a
Suite 8J
Brooklyn, NY 11220-2539

Mailing address

140 58TH St. Building a
Suite 8J
Brooklyn, NY 11220-2539
Phone (888) 685-2885

Other identifiers 1

IdentifierTypeStateIssuer
1265060289OtherNPI

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
OTTOC1NYMDClinical Laboratory Director (Non-physician)

Practice roles

OrganizationSpecialtyStatusNew patients
Biotia, Inc. CurrentSince Jul 1, 2021 Accepting new patients

Locations

140 58th St
Ste 8J
Brooklyn, NY 11220
Phone (724) 970-4879

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1922678861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 58TH ST. BUILDING A",
            "address_2": "SUITE 8J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202539",
            "telephone_number": "888-685-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 58TH ST. BUILDING A",
            "address_2": "SUITE 8J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202539",
            "telephone_number": "888-685-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "CAITLIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "OTTOC1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265060289",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.