Individual provider Active NPI

Raisa Katz, D.O

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1740511633
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
255754 Issued in NY
Practice address
1800 Avenue L
Apt B -7
Brooklyn, NY 11230-4463
Phone
(718) 570-7665
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 255754 NY Primary

Addresses

Primary practice location

1800 Avenue L
Apt B -7
Brooklyn, NY 11230-4463

Mailing address

1800 Avenue L
Apt B -7
Brooklyn, NY 11230-4463
Phone (718) 570-7665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Medical PC CurrentSince Aug 15, 2021 Accepting new patients

Locations

2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118

3632 Nostrand Ave
Ste 3
Brooklyn, NY 11229
Phone (718) 336-2258

Organizations & group practices 1

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": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1740511633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 AVENUE L",
            "address_2": "APT B -7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304463",
            "telephone_number": "718-570-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 AVENUE L",
            "address_2": "APT B -7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304463",
            "telephone_number": "718-570-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "RAISA",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.