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REVATHI KOTLA MD PC
NPI 1609343672
Internal Medicine - Nephrology in West Orange, NJ

Active since October 29, 2018
623 EAGLE ROCK AVE, WEST ORANGE, NJ 07052(973) 736-0687 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revathi Kotla Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVATHI KOTLA MD PC (NPI 1609343672) is a healthcare organization registered as a nephrology in West Orange, New Jersey and active in the NPI registry since October 2018. The organization lists Revathi Kotla, Owner, as its authorized official.

NPPES Registry Identity

NPI1609343672
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameREVATHI KOTLA MD PC
Location Address623 EAGLE ROCK AVEWest Orange, NJ 07052-2948
Mailing Address61 Joanna WayShort Hills, NJ 07078-3206 · (973) 758-1650
Phone(973) 736-0687
Organization SubpartNo
Authorized OfficialRevathi KotlaOwner · (973) 758-1650
Enumeration DateOctober 29, 2018
✔ NPI 1609343672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
623 EAGLE ROCK AVE, West Orange, NJ 07052
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALMA HABIB KHSHAIBOON PHD
Psychologist (Counseling)
623 EAGLE ROCK AVE, STE 1
WEST ORANGE, NJ 07052
Essex County (973) 790-9222
JEANINE-MARIE GERVASIO PT
Physical Therapist (Pediatrics)
623 EAGLE ROCK AVE
WEST ORANGE, NJ 07052
Essex County (201) 455-3144
DR TAYEBA SHAIKH
Psychologist
623 EAGLE ROCK AVE
WEST ORANGE, NJ 07052
Essex County (513) 259-4711
IRA M SONET DMD, PA.
Dentist (General Practice)
623 EAGLE ROCK AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-7500
DR. IRA M SONET D.M.D.
Dentist
623 EAGLE ROCK AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-7500
LISA SAND LCSW
Social Worker (Clinical)
623 EAGLE ROCK AVE, SUITE 5
WEST ORANGE, NJ 07052
Essex County (845) 377-6463
DR. CARMINE ALLONARDO D.C.
Chiropractor
623 EAGLE ROCK AVE, SUITE 208
WEST ORANGE, NJ 07052
Essex County (973) 324-9324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revathi Kotla MD PC's NPI number?

The NPI number for Revathi Kotla MD PC is 1609343672. It was assigned to this organization in the NPPES registry on October 29, 2018.

Where is Revathi Kotla MD PC located?

Revathi Kotla MD PC is located at 623 Eagle Rock Ave, West Orange, NJ 07052. The listed phone number is (973) 736-0687.

What is Revathi Kotla MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Revathi Kotla MD PC was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.