Organization Active NPI

James M Katz MD PA

  • Dermatology Physician
  • Fair Lawn, NJ
National Provider Identifier
1659449429
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA03297700 Issued in NJ
Legal business name
JAMES M KATZ MD PA
Practice address
15-01 Broadway
Suite 22
Fair Lawn, NJ 07410-6003
Phone
(201) 797-4009
Fax
(201) 791-4973
NPI assigned
Dec 1, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. James M Katz, MD
Title
Physician
Phone
(201) 797-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 25MA03297700 NJ Primary

Addresses

Primary practice location

15-01 Broadway
Suite 22
Fair Lawn, NJ 07410-6003

Mailing address

15-01 Broadway
Suite 22
Fair Lawn, NJ 07410-6003
Phone (201) 797-4009

National Provider Directory

National Provider Directory

Locations

15-01 Broadway
Ste 22
Fair Lawn, NJ 07410
Phone (201) 773-4200

15-01 Broadway
Ste 22
Fair Lawn, NJ 07410
Phone (201) 796-4848

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1659449429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "SUITE 22",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-797-4009",
            "fax_number": "201-791-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "SUITE 22",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-797-4009",
            "fax_number": "201-791-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M KATZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-797-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA03297700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.