Individual provider Active NPI

Jodie Hannah Katz

  • Family Medicine Physician
  • Waldwick, NJ
National Provider Identifier
1114960259
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA5284200 Issued in NJ
Practice address
140 Frankline Tpke
Valley Health Medical Group
Waldwick, NJ 07463
Phone
(201) 447-3603
Fax
(201) 447-5184
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA5284200 NJ Primary

Addresses

Primary practice location

140 Frankline Tpke
Valley Health Medical Group
Waldwick, NJ 07463

Mailing address

140 Frankline Tpke
Valley Health Medical Group
Waldwick, NJ 07463
Phone (201) 447-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20111129000093 NJ Practitioner - Family Practice 4385818590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA5284200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Medical Group, NJ-PC Family Medicine Current Accepting new patients
Valley Physician Services PC CurrentSince Jan 1, 2020 Accepting new patients

Locations

135 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 387-7055

1400 MacArthur Blvd
Fl 1
Mahwah, NJ 07430

85 Chestnut Ridge Rd
Montvale, NJ 07645
Phone (201) 444-1775

15 Essex Rd
Ste 504
Paramus, NJ 07652

15 Essex Rd
Fl 5
Paramus, NJ 07652

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

1200 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 327-8600

Organizations & group practices 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1114960259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FRANKLINE TPKE",
            "address_2": "VALLEY HEALTH MEDICAL GROUP",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "07463",
            "telephone_number": "201-447-3603",
            "fax_number": "201-447-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FRANKLINE TPKE",
            "address_2": "VALLEY HEALTH MEDICAL GROUP",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "07463",
            "telephone_number": "201-447-3603",
            "fax_number": "201-447-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JODIE",
        "middle_name": "HANNAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA5284200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

Verify at the official NPI Registry.