Individual provider Active NPI

Shari Jill Katlowitz, M.S.

  • Case Manager/Care Coordinator
  • Lawrence, NY
National Provider Identifier
1396034815
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1058 New McNeil Ave
Lawrence, NY 11559-1726
Phone
(917) 923-1776
Fax
(718) 868-2299
NPI assigned
Apr 5, 2011
Last updated
Dec 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 359168911 NY
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1058 New McNeil Ave
Lawrence, NY 11559-1726

Mailing address

1058 New McNeil Ave
Lawrence, NY 11559-1726
Phone (917) 923-1776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
359168911NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1396034815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 NEW MCNEIL AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591726",
            "telephone_number": "917-923-1776",
            "fax_number": "718-868-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 NEW MCNEIL AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591726",
            "telephone_number": "917-923-1776",
            "fax_number": "718-868-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATLOWITZ",
        "first_name": "SHARI",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "359168911",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.