CARMEN KOTRY (NPI# 1346881836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346881836 |
| Entity Type | Individual |
| Full Name | CARMEN KOTRY |
| Credential | PA-C |
| Practice Address |
905 Allwood Rd Clifton NJ 07012-1945 |
| Practice Telephone | 9737786676 |
| Mailing Telephone | 9737786676 |
| Enumeration Date | 2019-10-05 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00531400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
905 ALLWOOD RD |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07012-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293024 | Elizabeth Coll | Nurse Practitioner | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1945 | 2005-05-23 |
| 1831735166 | One Oak Medical Group, LLC | Specialist | 905 Allwood Rd, Clifton, NJ 07012-1945 | 2019-11-21 |
| 1427281351 | The Clifton Center for Oral Surgery and Jaw Reconstruction LLC | Clinic/Center | 905 Allwood Rd, Suite 202, Clifton, NJ 07012-1945 | 2009-08-26 |
| 1801031620 | Timothy M White | Physician Assistant | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2008-12-08 |
| 1467632364 | Ivan Chen | Physical Medicine & Rehabilitation | 905 Allwood Rd, Ste 200, Clifton, NJ 07012-1945 | 2007-11-07 |
| 1518037068 | General and Vascular Surgical Associates of North Jersey, P.a. | Surgery | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2006-11-09 |
| 1871681163 | Joseph Benjamin Baratta | Surgery | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2006-10-11 |
| 1497704373 | Anil Agarwal | Internal Medicine | 905 Allwood Rd, Suite 101, Clifton, NJ 07012-1933 | 2006-05-09 |
| 1023075991 | Meenoo Agarwal | Anesthesiology | 905 Allwood Rd, Suite 101, Clifton, NJ 07012-1945 | 2006-04-26 |
| 1063407674 | Neurology Group of North Jersey Pa | Psychiatry & Neurology | 905 Allwood Rd, Suite 105, Clifton, NJ 07012-1946 | 2005-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1063861144 | Lauren Ashley Royce | Physician Assistant | 1135 Broad Street, Suite 1, Clifton, NJ 07013 | 2016-06-08 |
| 1922445162 | Kevin Cousins | Physician Assistant | 50 Mount Prospect Ave, Suite 104, Clifton, NJ 07013-1900 | 2013-05-29 |
| 1801031620 | Timothy M White | Physician Assistant | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2008-12-08 |
| 1780727529 | Jonathan D. Freet | Physician Assistant | 1135 Broad St, 3rd Fl Suite 3, Clifton, NJ 07013-3346 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
| 1689108987 | Timothy Godfrey | Physician Assistant | 76 Willowbrook Blvd, Wayne, NJ 07470-7002 | 2017-04-13 |
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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.