Individual provider Active NPI

Nicholas Sean Katchen, DDS

  • Dental Anesthesiology
  • Brooklyn, NY
National Provider Identifier
1598025249
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
57362 Issued in NY
Practice address
150 55TH St
Lutheran Medical Center - Station 3-03
Brooklyn, NY 11220-2508
Phone
(718) 630-6808
Fax
(718) 630-8894
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 057362 NY
Dentist 122300000X 057362 NY
Pediatric Dentistry 1223P0221X 22DI03119800 NJ
Dental Anesthesiology 1223D0004X 57362 NY Primary
General Practice Dentistry 1223G0001X 057362 NY

Addresses

Primary practice location

150 55TH St
Lutheran Medical Center - Station 3-03
Brooklyn, NY 11220-2508

Mailing address

150 55TH St.
Lutheran Medical Center Station 3-03
Brooklyn, NY 11220
Phone (718) 630-6808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616001904 NY Order and Referring Only - DentistPractitioner - Dentist 5698066918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057362NYMDDentist
57362NYMDDentist Anesthesiologist
22DI03119800NJMDPediatric Dentist

Interoperability endpoints

  • Direct secure messaging: nkatchen133769@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1598025249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 55TH ST.",
            "address_2": "LUTHERAN MEDICAL CENTER STATION 3-03",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-630-6808",
            "fax_number": "718-630-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "address_2": "LUTHERAN MEDICAL CENTER - STATION 3-03",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202508",
            "telephone_number": "718-630-6808",
            "fax_number": "718-630-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATCHEN",
        "first_name": "NICHOLAS",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057362",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057362",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI03119800",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NY",
            "license": "57362",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.