Active NPI
Jacqueline Katz, DDS
- Prosthodontics
- New York, NY
National Provider Identifier
1578168555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 062710
- Practice address
- 535 Hudson St Apt 1E
New York, NY 10014-3254 - Phone
- (646) 852-6890
- NPI assigned
- Nov 30, 2020
- Last updated
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 062710 | NY | |
| Dentist | 122300000X | DN24576 | FL | |
| Dentist | 122300000X | 22DI02799700 | NJ | |
| Prosthodontics | 1223P0700X | DN2476 | FL | |
| Prosthodontics | 1223P0700X | 062710 | NY | Primary |
| Prosthodontics | 1223P0700X | 22DI02799700 | NJ |
Addresses
Primary practice location
535 Hudson St Apt 1E
New York, NY 10014-3254
Mailing address
535 Hudson St Apt 1E
New York, NY 10014-3254
Phone (516) 234-6810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 16, 2024 through May 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN24576 | FL | MD | Dentist |
| 22DI02799700 | NJ | MD | Dentist |
| DN2476 | FL | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1578168555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 HUDSON ST APT 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100143254",
"telephone_number": "516-234-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 HUDSON ST APT 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100143254",
"telephone_number": "646-852-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "JACQUELINE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062710",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24576",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02799700",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DN2476",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "062710",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "22DI02799700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.