Organization Active NPI

Dr Kenneth Katz

  • Durable Medical Equipment & Medical Supplies
  • Long Beach, NY
National Provider Identifier
1184879785
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DR KENNETH KATZ
Practice address
270 Edwards Blvd
Long Beach, NY 11561-3402
Phone
(516) 889-2300
Fax
(516) 889-2300
NPI assigned
Nov 24, 2008
Last updated
Jan 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. Kenneth Katz, DPMNPI 1003028101
Title
Owner
Phone
(516) 889-2300

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
Durable Medical Equipment & Medical Supplies 332B00000X 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

Other identifiers 1

IdentifierTypeStateIssuer
00790170MedicaidNY

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1184879785",
    "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",
            "fax_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",
            "fax_number": "516-889-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KENNETH KATZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-889-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00790170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.