Healthcare Provider Details

I. General information

NPI: 1780826016
Provider Name (Legal Business Name): HANNAH RAPAPORT KOTCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. HANNAH RAPAPORT

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S ORANGE AVE RADIOLOGY DEPARTMENT
LIVINGSTON NJ
07039-5817
US

IV. Provider business mailing address

94 OLD SHORT HILLS RD
LIVINGSTON NJ
07039-5672
US

V. Phone/Fax

Practice location:
  • Phone: 973-322-5804
  • Fax:
Mailing address:
  • Phone: 973-322-5804
  • Fax: 973-322-2851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA09640500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number258719
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036174428
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number052747
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: