DR. LISA ANNE KOTLER (NPI# 1700902079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700902079 |
| Entity Type | Individual |
| Full Name | DR. LISA ANNE KOTLER |
| Credential | MD |
| Practice Address |
411 Hackensack Ave 7th Floor Hackensack NJ 07601-6328 |
| Practice Telephone | 2014658111 |
| Practice Fax Number | 2014658110 |
| Mailing Telephone | 2014658111 |
| Mailing Fax Number | 2014658110 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25 MA 72093 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
198020 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801349774 | Lisa Michelle Kotler | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2016-07-27 |
| 1518298074 | Lisa Kandell Kotler | Dietitian, Registered | 8669 E San Alberto Dr, 102, Scottsdale, AZ 85258-4309 | 2010-01-22 |
| Street Address |
411 HACKENSACK AVE 7TH FLOOR |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503790 | Atara Rosenblatt | Student in an Organized Health Care Education/Training Program | 411 Hackensack Ave, Hackensack, NJ 07601-6328 | 2020-09-16 |
| 1023556453 | Hand In Hand Homecare Services LLC | In Home Supportive Care | 411 Hackensack Ave, Suite 200, Hackensack, NJ 07601-6328 | 2017-02-06 |
| 1033590922 | Michelle Miller | Psychologist | 411 Hackensack Ave, Hackensack, NJ 07601-6328 | 2015-06-16 |
| 1558759761 | Denise Phalon Cascio | Psychologist | 411 Hackensack Ave, 7th Floor, Hackensack, NJ 07601-6328 | 2014-12-23 |
| 1881013381 | Abat Medical | Durable Medical Equipment & Medical Supplies | 411 Hackensack Ave, 2nd Floor Suite 263, Hackensack, NJ 07601-6328 | 2014-04-11 |
| 1801154539 | Peer & Care | Physical Therapist | 411 Hackensack Ave, Hackensack, NJ 07601-6328 | 2012-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184963837 | Prospect Psychiatric Services Limited Liability Company | Psychiatry & Neurology | 344 Prospect Ave Apt 1a, Hackensack, NJ 07601-2602 | 2013-01-31 |
| 1710121991 | Shirley Sostre-oquendo | Psychiatry & Neurology | 450 Summit Ave, Hackensack, NJ 07601-1503 | 2009-05-01 |
| 1407904253 | Valeria Korshunova | Psychiatry & Neurology | 140 Prospect Ave, Suite4, Hackensack, NJ 07601 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059079 | Rr & C Associates | Psychiatry & Neurology | 705 Birchfield Dr, Mount Laurel, NJ 08054-4013 | 2019-12-09 |
| 1154888162 | St. Luke's Counseling Medical Center L.L.C. | Psychiatry & Neurology | 59 Seeley Ave, Kearny, NJ 07032-3120 | 2019-02-26 |
| 1194297614 | Childpsych Services, LLC | Psychiatry & Neurology | 940 Cedar Bridge Ave Fl 2, Brick, NJ 08723-4170 | 2018-12-21 |
| 1003279308 | Medisol, LLC | Psychiatry & Neurology | 226 Fisher Ave, Piscataway, NJ 08854-4833 | 2016-04-04 |
| 1043637465 | Jason Dean | Psychiatry & Neurology | 400 Frank W Burr Blvd # 6, Teaneck, NJ 07666-6839 | 2014-03-24 |
| 1174870034 | Naomi Ambalu | Psychiatry & Neurology | 266 King George Rd Ste G, Warren, NJ 07059-5187 | 2012-08-10 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1144512674 | Magalie Saint-lot Jacques | Psychiatry & Neurology | 31 Bridgewater Ct, Jackson, NJ 08527-4030 | 2011-05-03 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
| 1760792402 | Deepti-sagar Varma | Psychiatry & Neurology | 210 Bellevue Avenue, Upper Montclair, NJ 07043 | 2010-10-15 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.