Active NPI
Stuart Katz, M.D.
- Diagnostic Radiology Physician
- Hauppauge, NY
National Provider Identifier
1194725564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 154385
- Practice address
- 521 Route 111
Hauppauge, NY 11788-4370 - Phone
- (631) 265-9645
- Fax
- (631) 265-5589
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 154385 | NY | Primary |
Addresses
Primary practice location
521 Route 111
Hauppauge, NY 11788-4370
Mailing address
500 W Main St
Suite 108
Babylon, NY 11702-3027
Phone (631) 517-8006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00994225 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1194725564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"address_2": "SUITE 108",
"city": "BABYLON",
"state": "NY",
"postal_code": "117023027",
"telephone_number": "631-517-8006",
"fax_number": "631-517-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 ROUTE 111",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884370",
"telephone_number": "631-265-9645",
"fax_number": "631-265-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "STUART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "154385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00994225",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.