Organization Active NPI

Oleg Katcher MDPC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1124191325
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
211769 Issued in NY
Legal business name
OLEG KATCHER MDPC
Practice address
1765 East 19TH Street
Brooklyn, NY 11229-2201
Phone
(718) 758-4379
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Dr. Oleg Katcher, MDNPI 1598701468
Title
MD
Phone
(718) 758-4379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 211769 NY Primary

Addresses

Primary practice location

1765 East 19TH Street
Brooklyn, NY 11229-2201

Mailing address

1765 East 19TH Street
Brooklyn, NY 11229-2201
Phone (718) 758-4379

Other identifiers 1

IdentifierTypeStateIssuer
02461714MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080624000455 NY Part B Supplier - Clinic/Group Practice 6305917071 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY; Staten Island, NY

National Provider Directory

National Provider Directory

Locations

1326 Clove Rd
Staten Island, NY 10301
Phone (718) 556-1326

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1124191325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 EAST 19TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292201",
            "telephone_number": "718-758-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 EAST 19TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292201",
            "telephone_number": "718-758-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEG KATCHER MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "KATCHER",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-758-4379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "211769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02461714",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.