MRS. NIRMALA KOTHA RN, MSN, FNP-BC
NPI 1033321997
Nurse Practitioner - Family in New York, NY
Active since May 04, 2007
About Mrs. Nirmala Kotha Rn, Msn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NIRMALA KOTHA RN, MSN, FNP-BC (NPI 1033321997) is an individual family provider in New York, New York, licensed in New York (F333185) and active in the NPI registry since May 2007. She maintains a secondary practice location in Hamilton.
NPPES Registry Identity
NPI1033321997
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NIRMALA KOTHACredential: RN, MSN, FNP-BC
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address3959 Broadway, Chn10-24New York, NY 10032-1559 · (212) 305-8458 · Fax (212) 342-2293
Phone(212) 305-8458
Fax(212) 342-2293
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateMarch 14, 2026
NPPES CertifiedMarch 14, 2026
✔ NPI 1033321997 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · F333185✔ Licensed in NJ · 26NJ00165000
3959 BROADWAY, New York, NY 10032
Secondary Practice Location 1
Location 13840 Quakerbridge Rd Ste 110Hamilton, NJ 08619-1003 · Phone (973) 326-9000 · Fax (973) 326-9001
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033321997, enumerated as an "individual" on May 04, 2007.
The provider is located at 3959 BROADWAY NEW YORK, NY 10032 and the phone number is (212) 305-8458.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.