Individual provider Active NPI

Cortney Katz

  • Medical Physician Assistant
  • Bridgeport, CT
National Provider Identifier
1699158170
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3352 Issued in CT
Practice address
3250 Fairfield Ave
Unit 217
Bridgeport, CT 06605
Phone
(203) 690-2509
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3352 CT
Medical Physician Assistant 363AM0700X 3352 CT Primary

Addresses

Primary practice location

3250 Fairfield Ave
Unit 217
Bridgeport, CT 06605

Mailing address

594 Gilbert Ave
Hamden, CT 06514-2641
Phone (203) 690-2509

Other practice location 1

30 Lafayette Sq Ste 109
Vernon Rockville, CT 06066-4554
Phone (800) 391-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160111002112 CT Practitioner - Physician Assistant 5193027969 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0082MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Connecticut, P.C. CurrentSince Dec 17, 2017 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jan 1, 2025 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jan 1, 2025 Accepting new patients
Prime Healthcare, PC Physician Assistant CurrentSince May 1, 2023 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

68 Division St
Derby, CT 06418
Phone (203) 732-6802

30 Lafayette Sq
Ste 109
Vernon Rockville, CT 06066
Phone (800) 391-0599

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: cortney.katz@637.emedpractice.direct-ci.com

Organizations & group practices 7

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1699158170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 GILBERT AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142641",
            "telephone_number": "203-690-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 FAIRFIELD AVE",
            "address_2": "UNIT 217",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06605",
            "telephone_number": "203-690-2509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Lafayette Sq Ste 109",
            "address_purpose": "LOCATION",
            "city": "Vernon Rockville",
            "state": "CT",
            "postal_code": "060664554",
            "country_code": "US",
            "telephone_number": "800-391-0599",
            "fax_number": "980-825-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "CORTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3352",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.