DR. VIVEK AJAY KOTHARI (NPI# 1063041747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063041747 |
| Entity Type | Individual |
| Full Name | DR. VIVEK AJAY KOTHARI |
| Credential | MD |
| Practice Address |
180 Jfk Dr Ste 210 Atlantis FL 33462-6641 |
| Mailing Address |
5301 S Congress Ave Atlantis FL 33462-1149 |
| Practice Telephone | 5615481450 |
| Practice Fax Number | 5615481459 |
| Mailing Telephone | 5615481450 |
| Mailing Fax Number | 5615481459 |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2020-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| Street Address |
180 JFK DR STE 210 |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-6641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619994506 | Stuart Jon Bagatell | Internal Medicine | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2006-07-16 |
| 1215552278 | Carlos Andres Vergara Sanchez | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-06-15 |
| 1790305134 | Junaid Raja | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-04-24 |
| 1134758956 | David Alejandro Saez | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-04-03 |
| 1841829769 | Tabitha Estica | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-04-02 |
| 1902434103 | Jessica Baek | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-04-01 |
| 1659909893 | Atsou Klougan | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-04-01 |
| 1124656442 | Karla Avila | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-03-31 |
| 1053949800 | Kristina Draguljevic Menchaca | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-03-28 |
| 1639706633 | Catherine Ann Ostos Perez | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861029464 | Daniel Jose Garcia | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, 3 South, Atlantis, FL 33462-1149 | 2020-03-24 |
| 1427685395 | Gia-cat Pham | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave Fl 3, Atlantis, FL 33462-1149 | 2020-03-23 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1992238125 | Edgar Fernando Del Toro Diez | Student in an Organized Health Care Education/Training Program | 5301 South Congress Avenue, 3 South, Atlantis, FL 33462 | 2017-04-05 |
| 1215552278 | Carlos Andres Vergara Sanchez | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-06-15 |
| 1790305134 | Junaid Raja | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-04-24 |
| 1134758956 | David Alejandro Saez | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-04-03 |
| 1841829769 | Tabitha Estica | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 | 2020-04-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.