MS. Lara Kothari, PA-C
MS. Lara Kothari, PA-C is a Physician Assistant in Nutley, New Jersey. Qualified in 1999, 27 years ago. Practices with Vanguard Medical Group PA, a 60-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.
- Years since qualifying
- 27
- Licensed in
- PA
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
249 Franklin AveNutley, NJ 07110-2710
Phone: (973) 542-1106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence MA052233 (PA) |
|---|
Record details
| NPI number | 1598707788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Vanguard Medical Group Pa — 60 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Nutley
-
Tessa Daidone, PA
36 Hope St, Nutley, NJ 07110-3120 · (862) 571-0414
-
Delaney Katherine Klinger, PA-C
591 Franklin Ave, Nutley, NJ 07110-1284 · (973) 916-0002