Individual provider Active NPI

Melissa R Katzman, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1619278090
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
014470 Issued in NY
Practice address
210 E 65TH St
New York, NY 10065-6697
Phone
(212) 879-4700
NPI assigned
Nov 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014470 NY Primary

Addresses

Primary practice location

210 E 65TH St
New York, NY 10065-6697

Mailing address

210 E 65TH St
New York, NY 10065-6697
Phone (212) 879-4700

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201001001865 NY Practitioner - Physician Assistant 7810126570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

50 E 69TH St
New York, NY 10021-5002
Phone (212) 746-5593

525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-2157

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014470NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jul 27, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 27, 2020 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

50 E 69th St
New York, NY 10021
Phone (212) 570-4000

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1619278090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 65TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656697",
            "telephone_number": "212-879-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 65TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656697",
            "telephone_number": "212-879-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZMAN",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.