Active NPI
Bruce E. Katz, MD, PC
- Dermatology Physician
- New York, NY
National Provider Identifier
1679620769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 134724-1
- Legal business name
- BRUCE E. KATZ, MD, PC
- Practice address
- 60 E 56TH St
2ND Floor
New York, NY 10022-3204 - Phone
- (212) 688-5882
- Fax
- (212) 421-9502
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Katz, M.D.
- Title
- Director
- Phone
- (212) 688-5882
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 134724-1 | NY | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 134724-1 | NY | |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | 134724-1 | NY | |
| Pediatric Dermatology Physician | 207NP0225X | 134724-1 | NY | |
| Procedural Dermatology Physician | 207NS0135X | 134724-1 | NY | |
| Plastic Surgery Physician | 208200000X | 141259-1 | NY |
Addresses
Primary practice location
60 E 56TH St
2ND Floor
New York, NY 10022-3204
Mailing address
60 E 56TH St
2ND Floor
New York, NY 10022-3204
Phone (212) 688-5882
Other practice location 1
27 8th Ave
Brooklyn, NY 11217-3901
Phone (718) 636-0425
Other practice location 2
1000 Park Ave
New York, NY 10028-0934
Phone (212) 288-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60117 | Other | NY | GHI MEDICARE |
Other names 1
- Juva Skin and Laser Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690329600000",
"number": "1679620769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 E 56TH ST",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100223204",
"telephone_number": "212-688-5882",
"fax_number": "212-421-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 E 56TH ST",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100223204",
"telephone_number": "212-688-5882",
"fax_number": "212-421-9502"
}
],
"practiceLocations": [
{
"address_1": "27 8th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112173901",
"country_code": "US",
"telephone_number": "718-636-0425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Park Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100280934",
"country_code": "US",
"telephone_number": "212-288-1300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRUCE E. KATZ, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A",
"authorized_official_last_name": "KATZ",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "212-688-5882",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NY",
"license": "134724-1",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "134724-1",
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "NY",
"license": "134724-1",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Pediatric Dermatology",
"state": "NY",
"license": "134724-1",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "NY",
"license": "134724-1",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NY",
"license": "141259-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "60117",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Juva Skin and Laser Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Juva Skin and Laser Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.