Individual provider Active NPI

Leon Victor Katz, M.D.

  • Surgery Physician
  • Long Beach, NY
National Provider Identifier
1205890977
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
224351 Issued in NY
Practice address
430 Shore Road Suite B7D
Long Beach, NY 11561
Phone
(484) 343-7086
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 224351 NY Primary

Addresses

Primary practice location

430 Shore Road Suite B7D
Long Beach, NY 11561

Mailing address

430 Shore Road Suite B7D
Long Beach, NY 11561-3221
Phone (567) 666-4666

Other identifiers 4

IdentifierTypeStateIssuer
02648066MedicaidNY
101619989MedicaidPA
101813OtherPAMEDICARE PTAN
1899H1OtherNYMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040228000041 NY Practitioner - General Surgery 9436046174 Reassigns benefits to 2 organizations
I20060724000301 PA Practitioner - General Surgery 9436046174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

430 Shore Rd
Suite B7D
Long Beach, NY 11561-5315
Phone (484) 343-7086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224351NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Surgery CurrentSince Nov 9, 2015 Accepting new patients
Tower Health Medical Group Surgery CurrentSince Nov 9, 2015 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince Jun 1, 2022 Accepting new patients
Dr. Leon Katz Obesity, PLLC Surgery CurrentSince Feb 9, 2025 Accepting new patients
Tower Health Medical Group Current Accepting new patients
New York Bariatric Surgery Group PLLC PastSince Jun 1, 2022 Accepting new patients
Igor Kusayev Medical P.C. Past Accepting new patients

Locations

1345 Motor Pkwy
Islandia, NY 11749
Phone (631) 630-6297

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

2603 Keiser Blvd
Ste 104
Wyomissing, PA 19610
Phone (484) 628-3150

1220 Broadcasting Rd
Ste 100
Wyomissing, PA 19610
Phone (484) 628-5673

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: leon.katz@730961731125252.direct.elationemr.com

Organizations & group practices 7

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1205890977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SHORE ROAD SUITE B7D",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613221",
            "telephone_number": "567-666-4666",
            "fax_number": "516-266-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SHORE ROAD SUITE B7D",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "telephone_number": "484-343-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "LEON",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "224351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02648066",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101619989",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "101813",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1899H1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.