Healthcare Provider Details

I. General information

NPI: 1376450940
Provider Name (Legal Business Name): SADIE COTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W HIGH ST
SOMERVILLE NJ
08876-1854
US

IV. Provider business mailing address

808 BENDERMERE AVE
OCEAN NJ
07712-4102
US

V. Phone/Fax

Practice location:
  • Phone: 908-725-7799
  • Fax:
Mailing address:
  • Phone: 732-252-3547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07454800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: