Organization Active NPI

Adam J Katz DPM PA

Doing business as Premier Podiatry Group

  • Foot & Ankle Surgery Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1467676429
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2863 Issued in FL
Legal business name
ADAM J KATZ DPM PA
Doing business as
Premier Podiatry Group
Practice address
6080 W Boynton Beach Blvd Ste 100
Boynton Beach, FL 33437-3586
Phone
(561) 364-9584
Fax
(561) 364-9645
NPI assigned
Apr 12, 2007
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Dr. Adam J. Katz, DPMNPI 1639236359
Title
President
Phone
(561) 364-9584

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2863 FL Primary

Addresses

Primary practice location

6080 W Boynton Beach Blvd Ste 100
Boynton Beach, FL 33437-3586

Mailing address

8200 Jog Rd
Suite 205
Boynton Beach, FL 33472-2981
Phone (561) 364-9584

Other practice location 1

1397 Medical Park Blvd Ste 420
Wellington, FL 33414-3188
Phone (561) 328-8066

Other names 1

  • Premier Podiatry Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102000795 FL Part B Supplier - Clinic/Group Practice 1557323482 Receives reassigned benefits from 6 practitioners
Practice locations: Boynton Beach, FL; Wellington, FL

National Provider Directory

National Provider Directory

Locations

1041 S State Road 7
Ste 5
Wellington, FL 33414
Phone (561) 328-8066

Practitioners & affiliated clinicians

Practitioners 6

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1467676429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 JOG RD",
            "address_2": "SUITE 205",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722981",
            "telephone_number": "561-364-9584",
            "fax_number": "561-364-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 W BOYNTON BEACH BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373586",
            "telephone_number": "561-364-9584",
            "fax_number": "561-364-9645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1397 Medical Park Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334143188",
            "country_code": "US",
            "telephone_number": "561-328-8066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADAM J KATZ DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-364-9584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.