Individual provider Active NPI

Julie Bek Katz-Gerrish, DO

  • Family Medicine Physician
  • West Nyack, NY
National Provider Identifier
1295878635
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203619 Issued in NY
Practice address
40 Rose Rd
West Nyack, NY 10994
Phone
(845) 627-1050
Fax
(845) 624-4808
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 203619 NY Primary

Addresses

Primary practice location

40 Rose Rd
West Nyack, NY 10994

Mailing address

40 Rose Road
West Nyack, NY 10994
Phone (845) 627-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100304000367 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3173668969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Rose Rd
West Nyack, NY 10994-2116
Phone (845) 627-1050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203619NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J.B.Katz-Gerrish, DO, PC Family Medicine CurrentSince Sep 22, 2000 Accepting new patients

Organizations & group practices 1

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1295878635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROSE ROAD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "10994",
            "telephone_number": "845-627-1050",
            "fax_number": "845-624-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ROSE RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "10994",
            "telephone_number": "845-627-1050",
            "fax_number": "845-624-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ-GERRISH",
        "first_name": "JULIE",
        "middle_name": "BEK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "203619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.