Organization Active NPI

Fred H. Katz M.D.P.C.

  • Specialist
  • Mahopac, NY
National Provider Identifier
1235312034
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
193160 Issued in NY
Legal business name
FRED H. KATZ M.D.P.C.
Practice address
21 Clark PL
Mahopac, NY 10541-4723
Phone
(845) 628-3033
Fax
(845) 628-8548
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Jeffrey Brian Katz, M.D.
Title
President
Phone
(845) 628-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 193160 NY Primary

Addresses

Primary practice location

21 Clark PL
Mahopac, NY 10541-4723

Mailing address

PO Box 611
Mahopac, NY 10541-0611
Phone (845) 628-3033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1235312034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105410611",
            "telephone_number": "845-628-3033",
            "fax_number": "845-628-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CLARK PL",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414723",
            "telephone_number": "845-628-3033",
            "fax_number": "845-628-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED H. KATZ M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-628-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "193160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.