NAA-DEI KOTEY (NPI# 1659786135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659786135 |
| Entity Type | Individual |
| Full Name | NAA-DEI KOTEY |
| Credential | D.O. |
| Practice Address |
45 Dimock St Roxbury MA 02119-1208 |
| Mailing Address |
55 Dimock Street Roxbury MA 02119 |
| Practice Telephone | 6175410950 |
| Practice Fax Number | 6175418472 |
| Mailing Telephone | 6174428800 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
270420 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
45 DIMOCK ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813856 | Debra Jean Reid | Pharmacist | 45 Dimock St, Roxbury, MA 02119-1208 | 2005-09-27 |
| 1063022028 | Hoda Hamed | Optometrist | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-08-05 |
| 1790394096 | Jonathan Foster-moore | Nurse Practitioner | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-07-23 |
| 1730797077 | Kristie Michelle Grimes-mallard | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-07-22 |
| 1558987859 | Dina Cabrejos Arauco | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-06-23 |
| 1104440908 | Joelle Sulistio | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-06-08 |
| 1346883980 | Kristen Monique Beard | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-10-27 |
| 1639731649 | Alyssa Meltzer | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-07-01 |
| 1184283012 | Claudia Rizzo | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-06-13 |
| 1740849959 | Sabiha Zaman | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093359499 | Melissa Lemayian | Family Medicine | 26 Ames St, Lowell, MA 01852-2604 | 2019-10-30 |
| 1679819031 | Joan F Tryzelaar | Family Medicine | 500 Cummings Ctr Ste 1800, Beverly, MA 01915 | 2012-12-12 |
| 1972677680 | Thomas Kevin Hicks | Family Medicine | 309 Belmont Street, Worcester Recovery Center and Hopsital, Worcester, MA 01604 | 2006-11-17 |
| 1083785000 | Edward Robert Harned | Family Medicine | 49 Echo Lane, North Chatham, MA 02650 | 2006-11-13 |
| 1912095589 | Robert Geer Insley | Family Medicine | 78 Crowell Rd, Chatham, MA 02633-1966 | 2006-10-10 |
| 1609976448 | Margaret Shelly | Family Medicine | 1755 Commonwealth Ave, Brighton, MA 02135-4040 | 2006-09-22 |
| 1194735449 | Bodkhe & Dickey Associates, LLC | Family Medicine | 51 Sanderson St Ste 10, Greenfield, MA 01301-2739 | 2006-08-09 |
| 1255356705 | Stephen Oliver Chastain | Family Medicine | 33 Lawrence St, Methuen, MA 01844-4445 | 2006-07-13 |
| 1568438513 | Anne Marie Treadup | Family Medicine | 500 Faunce Corner Rd Ste 160, North Dartmouth, MA 02747-1277 | 2006-02-28 |
| 1790779908 | Martin Lesser | Family Medicine | 1236 Main St, Suite 201, Holyoke, MA 01040-5370 | 2005-09-01 |
| Find all providers with the same taxonomy | ||||
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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.