Organization Active NPI

Adam M. Katof, D.O., PLLC

  • Internal Medicine Physician
  • Plainview, NY
National Provider Identifier
1730359894
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218967 Issued in NY
Legal business name
ADAM M. KATOF, D.O., PLLC
Practice address
100 Manetto Hill Road
Suite 312
Plainview, NY 11803-1311
Phone
(516) 513-1720
Fax
(516) 513-1722
NPI assigned
Mar 5, 2008
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Dr. Adam M. Katof, D.O.
Title
Owner
Phone
(516) 513-1720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218967 NY Primary

Addresses

Primary practice location

100 Manetto Hill Road
Suite 312
Plainview, NY 11803-1311

Mailing address

100 Manetto Hill Road
Suite 312
Plainview, NY 11803-1311
Phone (516) 513-1720

Other identifiers 1

IdentifierTypeStateIssuer
02458868MedicaidNY

National Provider Directory

National Provider Directory

Locations

100 Manetto Hill Rd
Ste 312
Plainview, NY 11803
Phone (516) 513-1720

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1730359894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL ROAD",
            "address_2": "SUITE 312",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-513-1720",
            "fax_number": "516-513-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL ROAD",
            "address_2": "SUITE 312",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-513-1720",
            "fax_number": "516-513-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM M. KATOF, D.O., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "KATOF",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-513-1720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.