Nicolas Davila Katz, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1560491 Issued in NY

Practice address

2527 Glebe Avenue
Bronx, NY 10461

Phone

(718) 904-4400

Fax

(718) 931-7307

NPI assigned

Mar 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Columbia University College of Physicians and Surgeons, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Counseling and LCSW ServicesGroup PAC ID 3577605617, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Community Counseling & LCSW Services PC

  • Clinical Social Worker
  • Center Moriches, NY
  • NPI 1770819690
  Medicare reassignment Care Compare group
• Qureshi Medical Services PLLC

  • Psychiatry Physician
  • Center Moriches, NY
  • NPI 1316763162
  NPD (past)

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1104946102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 GLEBE AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-904-4400",
            "fax_number": "718-931-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 GLEBE AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-904-4400",
            "fax_number": "718-931-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA KATZ",
        "first_name": "NICOLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "1560491",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "1560491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Susan Davidson, MA,CCC,SLP,PC
• Lynn Davidson, MD
• Syon Davidson
• Jennifer Lynn Davies, L.M.S.W.
• Joyce Davies, LPN
• Juan Alexander Davila Rivera
• Ricardo Manuel Davila Vasquez, MD
• Katherine Jissel Davila-Rodriguez
• Jennifer Gabriela Davila, MD
• Jessica C Davila, SOCIAL WORKER

• Psychiatry Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.