NPIMap

Organization Active NPI

Bruce E. Katz, MD, PC

Doing business as Juva Skin & Laser Center

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1710127675
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
142371 Issued in NY
Legal business name
BRUCE E. KATZ, MD, PC
Doing business as
Juva Skin & Laser Center
Practice address
27 8TH Ave
Brooklyn, NY 11217-3901
Phone
(718) 636-0425
Fax
(718) 636-1308
NPI assigned
Mar 4, 2009
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Bruce E KatzNPI 1154404895
Title
Director
Phone
(212) 688-5882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 142371 NY Primary

Addresses

Primary practice location

27 8TH Ave
Brooklyn, NY 11217-3901

Mailing address

27 8TH Ave
Brooklyn, NY 11217-3901
Phone (718) 636-0425

Other practice location 1

1000 Park Ave
New York, NY 10028-0934
Phone (212) 288-1300

Other names 1

  • Juva Skin & Laser Center Doing business as

National Provider Directory

National Provider Directory

Locations

27 8th Ave
Brooklyn, NY 11217
Phone (212) 688-5882

4405 Broadway
Bsmt
New York, NY 10040
Phone (212) 288-1300

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1710127675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173901",
            "telephone_number": "718-636-0425",
            "fax_number": "718-636-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173901",
            "telephone_number": "718-636-0425",
            "fax_number": "718-636-1308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100280934",
            "country_code": "US",
            "telephone_number": "212-288-1300",
            "fax_number": "212-794-9271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRUCE E. KATZ, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2022-07-29",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-688-5882"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "142371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juva Skin & Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.