NPIMap

Individual provider Active NPI

Jacob Katz, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Englishtown, NJ
National Provider Identifier
1538387964
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
25MA10151200 Issued in NJ
Practice address
74 US Highway 9 Ste 1
Englishtown, NJ 07726-9209
Phone
(732) 762-5005
Fax
(732) 410-4676
NPI assigned
Apr 23, 2007
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MA10151200 NJ Primary
Sports Medicine (Family Medicine) Physician 207QS0010X ME 126965 FL
Sports Medicine (Family Medicine) Physician 207QS0010X 286279 NY

Addresses

Primary practice location

74 US Highway 9 Ste 1
Englishtown, NJ 07726-9209

Mailing address

74 US Highway 9 Ste 1
Englishtown, NJ 07726-9209
Phone (732) 762-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161202000804 NY Practitioner - Family PracticePractitioner - Sports Medicine 4284914599 Reassigns benefits to 3 organizations
I20180209001665 NJ Practitioner - Family Practice 4284914599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

50 -52 Charles St
Golden Path Adhc
New Brunswick, NJ 08901-3318
Phone (732) 640-1122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 126965FLMDSports Medicine (Family Medicine) Physician
286279NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Orthopaedic FPP CurrentSince Jun 11, 2018 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Ny Arthritis PC CurrentSince Oct 24, 2016 Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 1, 2019 Accepting new patients
Jacob Katz MD PC Sports Medicine CurrentSince May 28, 2021 Accepting new patients
Mount Sinai School of Medicine PastSince Feb 1, 2019 Accepting new patients
Maimonides Bone and Joint Faculty Practice Physical Therapy Past Accepting new patients

Locations

74 US Highway 9
Ste 1
Englishtown, NJ 07726
Phone (732) 762-5005

1725 E 12th St
Ste 101
Brooklyn, NY 11229
Phone (718) 375-2300

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

7136 110th St
Ste 1J
Forest Hills, NY 11375
Phone (718) 261-2610

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

489 5th Ave
Fl 3
New York, NY 10017
Phone (212) 530-2288

489 5th Ave
Fl 3
New York, NY 10017
Phone (212) 440-0658

Interoperability endpoints

  • Direct secure messaging: jacobkatz@mai.allscriptsdirect.net
  • Direct secure messaging: jkatz230940@directvirtua.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1538387964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 US HIGHWAY 9 STE 1",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077269209",
            "telephone_number": "732-762-5005",
            "fax_number": "732-410-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 US HIGHWAY 9 STE 1",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077269209",
            "telephone_number": "732-762-5005",
            "fax_number": "732-410-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA10151200",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME 126965",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "286279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englishtown, NJ

Sources for this page

Verify at the official NPI Registry.