Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mikhail Kotlov, MD

Individual provider Internal Medicine Physician · NPI 1891840872

Mikhail Kotlov, MD is a Nephrology in Paramus, New Jersey. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2003, 23 years ago. Practices with Bergen Hypertension and Renal Assoc, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
23
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Kalisa Way Ste 210
Paramus, NJ 07652
Phone: (201) 447-0013
Fax: (201) 255-4515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 25MA08410200 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 238660 (NY)

Record details

NPI number1891840872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESOctober 4, 2023
Certification dateJuly 26, 2023
Mailing address1 Kalisa Way, Suite 210, Paramus, NJ 07652

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2003 (23 years in practice)
Group practice Bergen Hypertension And Renal Assoc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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