Organization Active NPI

Dr. Leon Katz Obesity, PLLC

  • Surgery Physician
  • Long Beach, NY
National Provider Identifier
1275354755
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DR. LEON KATZ OBESITY, PLLC
Practice address
430 Shore Rd Suite B7D
Long Beach, NY 11561-5315
Phone
(484) 343-7086
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Dr. Leon Katz, MDNPI 1205890977
Title
Owner
Phone
(567) 666-4666

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
Surgery Physician 208600000X Primary

Addresses

Primary practice location

430 Shore Rd Suite B7D
Long Beach, NY 11561-5315

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250402002257 NY Part B Supplier - Clinic/Group Practice 5193248987 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, NY

National Provider Directory

National Provider Directory

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": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1275354755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SHORE RD STE B7D",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115615315",
            "telephone_number": "484-343-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SHORE RD SUITE B7D",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115615315",
            "telephone_number": "484-343-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEON KATZ OBESITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-666-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.