Active NPI
Jacob Katanov, P.A.
- Surgical Physician Assistant
- Brooklyn, NY
National Provider Identifier
1396762191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 007935
- Practice address
- 540 Atlantic Ave
Brooklyn, NY 11217-1985 - Phone
- (718) 855-4900
- Fax
- (718) 802-0631
- NPI assigned
- Jul 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 007935 | NY | Primary |
Addresses
Primary practice location
540 Atlantic Ave
Brooklyn, NY 11217-1985
Mailing address
2202 Steinway St
Astoria, NY 11105-1836
Phone (718) 423-0808
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007935 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katan Orthopedics & Spine Surgery LLC | Current | Accepting new patients | |
| Surgical PA Services, PC | Surgical | Current | Accepting new patients |
| Premier Surgical Services, P.C. | Surgical | Past | Accepting new patients |
| MM Medical Service PC | Past | Accepting new patients | |
| The Parkway Hospital | Past | Accepting new patients | |
| Miriam Kanter MD PC | Past | Accepting new patients |
Interoperability endpoints
- jkatanov126534@nyumc.direct-ci.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery of the Spine Physician
- Hollywood, FL
- NPI 1023722022
-
- Surgical Physician Assistant
- Marlton, NJ
- NPI 1811529290
-
- Physical Medicine & Rehabilitation Physician
- Richmond Hill, NY
- NPI 1295863926
-
- Specialist
- Forest Hills, NY
- NPI 1104281286
-
- Surgical Physician Assistant
- Scarsdale, NY
- NPI 1093995193
-
- General Acute Care Hospital
- Forest Hills, NY
- NPI 1124060538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396762191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 STEINWAY ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111051836",
"telephone_number": "718-423-0808",
"fax_number": "718-204-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171985",
"telephone_number": "718-855-4900",
"fax_number": "718-802-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATANOV",
"first_name": "JACOB",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "007935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.