Individual provider Active NPI

Zachary Jerome Katzel

  • Student in an Organized Health Care Education/Training Program
  • Aurora, IL
National Provider Identifier
1649776956
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
347 S Gladstone Ave
Aurora, IL 60506-4892
Phone
(630) 329-3612
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X IL
Student in an Organized Health Care Education/Training Program 390200000X IL Primary

Addresses

Primary practice location

347 S Gladstone Ave
Aurora, IL 60506-4892

Mailing address

513 Hartford Ave Apt 8S
Aurora, IL 60506-5452
Phone (630) 329-3612

Other practice location 1

513 Hartford Ave Apt 8S
Aurora, IL 60506-5452
Phone (630) 329-3612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1649776956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 HARTFORD AVE APT 8S",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605065452",
            "telephone_number": "630-329-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 S GLADSTONE AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064892",
            "telephone_number": "630-329-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 Hartford Ave Apt 8S",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605065452",
            "country_code": "US",
            "telephone_number": "630-329-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZEL",
        "first_name": "ZACHARY",
        "middle_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.