Individual provider Active NPI

Anna Katsman, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Cedar Knolls, NJ
National Provider Identifier
1710273982
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
25MA10413700 Issued in NJ
Practice address
218 Ridgedale Ave
Cedar Knolls, NJ 07927-2109
Phone
(973) 538-7700
Fax
(973) 538-9478
NPI assigned
Jun 25, 2011
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MT199166 PA
Pediatric Orthopaedic Surgery Physician 207XP3100X 64842 CT
Pediatric Orthopaedic Surgery Physician 207XP3100X 25MA10413700 NJ Primary

Addresses

Primary practice location

218 Ridgedale Ave
Cedar Knolls, NJ 07927-2109

Mailing address

218 Ridgedale Ave Ste 101
Cedar Knolls, NJ 07927-2109
Phone (973) 538-7700

Other practice location 1

218 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 538-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190111000233 NJ Practitioner - Orthopedic Surgery 9133465172 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT199166PAMDOrthopaedic Surgery Physician
25MA10413700NJMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC Orthopaedic Surgery CurrentSince Mar 1, 2019 Accepting new patients
Marc Feingold MD LLC Current Accepting new patients
Orthonj LLC Orthopaedic Surgery PastSince Sep 8, 2019 Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

218 Ridgedale Ave
Ste 101
Cedar Knolls, NJ 07927
Phone (973) 285-1700

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1710273982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 RIDGEDALE AVE STE 101",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272109",
            "telephone_number": "973-538-7700",
            "fax_number": "973-538-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272109",
            "telephone_number": "973-538-7700",
            "fax_number": "973-538-9478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Ridgedale Ave",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "07927",
            "country_code": "US",
            "telephone_number": "973-538-7700",
            "fax_number": "973-538-9478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSMAN",
        "first_name": "ANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-25",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT199166",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CT",
            "license": "64842",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA10413700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.