Active NPI
Joan Katz, M.D.
- Public Health & General Preventive Medicine Physician
- Boston, MA
National Provider Identifier
1154341576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 53852
- Practice address
- 65 E India Row
Apt. No. 5a
Boston, MA 02110-3308 - Phone
- (617) 367-8887
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | ME80568 | FL | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 53852 | MA | Primary |
Addresses
Primary practice location
65 E India Row
Apt. No. 5a
Boston, MA 02110-3308
Mailing address
4371 Northlake Blvd
# 128
Palm Beach Gardens, FL 33410-6253
Phone (617) 367-8887
Other practice location 1
3301 NW 2nd Ave Ste 100
Boca Raton, FL 33431-6674
Phone (561) 459-5356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME80568 | FL | MD | Public Health & General Preventive Medicine Physician |
| 53852 | MA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1154341576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 NORTHLAKE BLVD",
"address_2": "# 128",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334106253",
"telephone_number": "617-367-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E INDIA ROW",
"address_2": "APT. NO. 5A",
"city": "BOSTON",
"state": "MA",
"postal_code": "021103308",
"telephone_number": "617-367-8887"
}
],
"practiceLocations": [
{
"address_1": "3301 NW 2nd Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316674",
"country_code": "US",
"telephone_number": "561-459-5356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATZ",
"first_name": "JOAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "FL",
"license": "ME80568",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MA",
"license": "53852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.