Individual provider Active NPI

Steven Katz

  • Urology Physician
  • Englewood, NJ
National Provider Identifier
1477555993
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA03291800 Issued in NJ
Practice address
300 Grand Ave
Suite 202
Englewood, NJ 07631-4398
Phone
(201) 816-1900
Fax
(201) 816-1777
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA03291800 NJ Primary

Addresses

Primary practice location

300 Grand Ave
Suite 202
Englewood, NJ 07631-4398

Mailing address

300 Grand Ave
Suite 202
Englewood, NJ 07631-4398
Phone (201) 816-1900

Other identifiers 7

IdentifierTypeStateIssuer
2356655OtherNJAETNA HMO #
00318396MedicaidNY
1099845OtherNJGHI PPO #
324531OtherNJEMPIRE BC/BS #
4226901OtherNJAETNA PPO #
4716507MedicaidNJ
340015152OtherNJRAILROAD MDCR #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skatz10364@njurology.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20091231000126 NJ Practitioner - Urology 1153316948 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03291800NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Urology LLC Urology CurrentSince Jan 1, 2010 Accepting new patients
Summit Medical Group, Inc PastSince Jan 1, 2010 Accepting new patients
Urology Center P a Urology PastSince Jul 1, 2004 Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1515 Broad St
Ste B130
Bloomfield, NJ 07003
Phone (973) 842-2730

75 S Dean St
Englewood, NJ 07631
Phone (201) 816-1900

300 Grand Ave
Ste 202
Englewood, NJ 07631
Phone (201) 816-1900

Interoperability endpoints

  • Direct secure messaging: skatz@nj-urology.gwaydirect.com
  • Direct secure messaging: skatz10364@njurology.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1477555993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE",
            "address_2": "SUITE 202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314398",
            "telephone_number": "201-816-1900",
            "fax_number": "201-816-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE",
            "address_2": "SUITE 202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314398",
            "telephone_number": "201-816-1900",
            "fax_number": "201-816-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA03291800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO #",
            "identifier": "2356655",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00318396",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO #",
            "identifier": "1099845",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS #",
            "identifier": "324531",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO #",
            "identifier": "4226901",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4716507",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MDCR #",
            "identifier": "340015152",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skatz10364@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "300 Grand Ave",
            "address_2": "Suite 202",
            "city": "Englewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076314398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.