Individual provider Active NPI

Kenneth B Katz, DPM

  • Podiatrist
  • Long Beach, NY
National Provider Identifier
1003028101
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N3569-1 Issued in NY
Practice address
270 Edwards Blvd
Long Beach, NY 11561-3402
Phone
(516) 889-2300
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N3569-1 NY Primary

Addresses

Primary practice location

270 Edwards Blvd
Long Beach, NY 11561-3402

Mailing address

270 Edwards Blvd
Long Beach, NY 11561-3402
Phone (516) 889-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111202000454 NY Practitioner - Podiatry 2668674938 Practice locations: Long Beach, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

270 Edwards Blvd
Long Beach, NY 11561-3402
Phone (516) 889-2300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue379
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N3569-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kenneth Katz PastSince Oct 1, 1995 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1003028101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 EDWARDS BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613402",
            "telephone_number": "516-889-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 EDWARDS BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613402",
            "telephone_number": "516-889-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "KENNETH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N3569-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.