Organization Active NPI

Alvin Katz MD PC

  • Exclusive Provider Organization
  • New York, NY
National Provider Identifier
1346553799
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
MA21932 Issued in NJ
Legal business name
ALVIN KATZ MD PC
Practice address
45 E 72ND St
1A
New York, NY 10021-4148
Phone
(212) 879-3292
Fax
(212) 988-2507
NPI assigned
Jul 14, 2010
Last updated
Jul 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Dr. Alvin Katz, MDNPI 1700948650
Title
Owner
Phone
(212) 879-3292

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X MA21932 NJ Primary
Exclusive Provider Organization 302F00000X 092277 NY

Addresses

Primary practice location

45 E 72ND St
1A
New York, NY 10021-4148

Mailing address

45 E 72ND St
1A
New York, NY 10021-4148
Phone (212) 879-3292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100802000303 NJ Part B Supplier - Clinic/Group Practice 5991838666 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, NJ
O20101217000721 NY Part B Supplier - Clinic/Group Practice 5991838666 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

200 Grand Ave
Ste 204
Englewood, NJ 07631
Phone (201) 567-2199

Practitioners & affiliated clinicians

Practitioners 2

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": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1346553799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E 72ND ST",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214148",
            "telephone_number": "212-879-3292",
            "fax_number": "212-988-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E 72ND ST",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214148",
            "telephone_number": "212-879-3292",
            "fax_number": "212-988-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN KATZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-879-3292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "MA21932",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "092277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.