Individual provider Active NPI

Harry Katz, MD

  • Specialist
  • Midland Park, NJ
National Provider Identifier
1508857814
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA41970 Issued in NJ
Practice address
44 Godwin Ave
Midland Park, NJ 07432-1969
Phone
(201) 445-2900
Fax
(201) 445-8679
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA41970 NJ Primary

Addresses

Primary practice location

44 Godwin Ave
Midland Park, NJ 07432-1969

Mailing address

44 Godwin Ave
Midland Park, NJ 07432-1969
Phone (201) 445-2900

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
I20101122001022 NJ Practitioner - Otolaryngology 0941242796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sovereign Medical Group LLCGroup PAC ID 1456535392, 20 clinicians

Practice addresses (Care Compare)

14 -01 Broadway
Suite B
Fair Lawn, NJ 07410-2008
Phone (201) 855-8455

85 Harristown Rd
Suite 102
Glen Rock, NJ 07452-3323
Phone (201) 670-9215

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA41970NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sovereign Medical Group, LLC CurrentSince Aug 1, 2015 Accepting new patients
Sovereign Medical Group LLC CurrentSince Aug 1, 2015 Accepting new patients

Locations

85 Harristown Rd
Glen Rock, NJ 07452
Phone (201) 201-4610

85 Harristown Rd
#1105
Glen Rock, NJ 07452
Phone (201) 855-8302

85 Harristown Rd
Fl 2
Glen Rock, NJ 07452
Phone (201) 703-5500

85 Harristown Rd
Ste 105
Glen Rock, NJ 07452

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

1 Degraw Ave
Teaneck, NJ 07666
Phone (201) 837-2174

Organizations & group practices 2

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1508857814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321969",
            "telephone_number": "201-445-2900",
            "fax_number": "201-445-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321969",
            "telephone_number": "201-445-2900",
            "fax_number": "201-445-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA41970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

Verify at the official NPI Registry.