Luba Katz, RN, CNM, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

335206 Issued in NY

Practice address

59 Lynbrook Ave
Staten Island, NY 10309-4508

Phone

(718) 966-1135

NPI assigned

Dec 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Certified Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279324800000",
    "number": "1376606012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 LYNBROOK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094508",
            "telephone_number": "718-966-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LYNBROOK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094508",
            "telephone_number": "718-966-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "LUBA",
        "name_prefix": "Mrs.",
        "credential": "RN, CNM, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2010-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000422",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "F360139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023456723",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katy Med Supply Inc
• Gloria P Katz-Braunschweig, PT, DPT
• Hilla Rachel Katz-Lichtenstein, MD
• Cristina M. Katz, M.S.
• Erica Lynn Wilson Katz, FNP
• Michelle Katz
• Olga Katz, M.D.
• Tracy Katz, CASAC-T
• Tracy Leigh Katz, OTR/L
• Yael Katz, PT

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; 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.