| Mikhail Kotlov, MD | |
|
1 Kalisa Way, Suite 210, Paramus, NJ 07652 | |
| (201) 447-0013 | |
| (201) 255-4515 |
| Full Name | Mikhail Kotlov |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 22 Years |
| Location | 1 Kalisa Way, Paramus, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891840872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 238660 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 25MA08410200 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Radburn Dialysis | Fair lawn, NJ | Dialysis facility |
| Total Renal Care, Inc | Maywood, NJ | Dialysis facility |
| Valley Home Care Inc. | Paramus, NJ | Home health agency |
| Valley Hospital | Ridgewood, NJ | Hospital |
| Hackensack University Medical Center | Hackensack, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bergen Hypertension And Renal Assoc | 0749249720 | 6 |
| Entity Name | Bergen Hypertension & Renal Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023152980 PECOS PAC ID: 0749249720 Enrollment ID: O20041006000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikhail Kotlov, MD 1 Kalisa Way, Suite 210, Paramus, NJ 07652 Ph: (201) 447-0013 | Mikhail Kotlov, MD 1 Kalisa Way, Suite 210, Paramus, NJ 07652 Ph: (201) 447-0013 |
Dr. Salvatore Focella, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1 W Ridgewood Ave, Paramus, NJ 07652 Phone: 201-444-5807 Fax: 201-447-9338 | |
Dr. Michael Nevins, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 230 East Ridgewood Ave, Paramus, NJ 07652 Phone: 201-967-4156 | |
Dr. Howard Weizman, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1 Kalisa Way, Suite 210, Paramus, NJ 07652 Phone: 201-447-0013 Fax: 201-255-4515 | |
Thomas Andrew Cacciola, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 403 Farview Ave, Paramus, NJ 07652 Phone: 201-261-8386 Fax: 201-261-8827 | |
Dr. Theodore P Sgambati, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 2 Sears Dr, Floor 2, Paramus, NJ 07652 Phone: 201-262-2333 Fax: 201-262-4515 | |
Lisa M Cannon, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 501 N Rte 17, Paramus, NJ 07652 Phone: 551-218-3790 Fax: 201-979-1312 | |
Ranjan Ginde, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 650 From Rd Fl 5, Paramus, NJ 07652 Phone: 201-639-6630 |