Individual provider Active NPI

Kathleen M. Catalano, D.O.

  • Family Medicine Physician
  • Johnstown, NY
National Provider Identifier
1376555490
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
184092-1 Issued in NY
Practice address
41 S Perry St
Johnstown, NY 12095-2315
Phone
(518) 736-1374
Fax
(518) 762-1133
NPI assigned
Aug 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 184092-1 NY Primary

Addresses

Primary practice location

41 S Perry St
Johnstown, NY 12095-2315

Mailing address

41 S Perry St
Johnstown, NY 12095-2315
Phone (518) 736-1374

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
I20101202000012 NY Practitioner - Family Practice 6800082835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

84 E State St
Gloversville, NY 12078-1202
Phone (518) 773-8894

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184092-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Healthcare CurrentSince Sep 22, 2023 Accepting new patients
St. Mary's Healthcare CurrentSince Sep 22, 2023 Accepting new patients
St. Mary's Healthcare Past Accepting new patients

Locations

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

84 E State St
Gloversville, NY 12078
Phone (518) 332-4336

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376555490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S PERRY ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952315",
            "telephone_number": "518-736-1374",
            "fax_number": "518-762-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S PERRY ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952315",
            "telephone_number": "518-736-1374",
            "fax_number": "518-762-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATALANO",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "184092-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

Verify at the official NPI Registry.