Organization Active NPI

Shmuel E Katz MD PA

  • Specialist
  • North Miami Beach, FL
National Provider Identifier
1740589944
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0038847 Issued in FL
Legal business name
SHMUEL E KATZ MD PA
Practice address
100 NW 170TH St
Suite 105
North Miami Beach, FL 33169-5513
Phone
(305) 654-5069
Fax
(305) 654-5217
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Dr. Shmuel E Katz, MD
Title
President
Phone
(305) 864-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0038847 FL Primary

Addresses

Primary practice location

100 NW 170TH St
Suite 105
North Miami Beach, FL 33169-5513

Mailing address

10185 Collins Ave Apt 418
Bal Harbour, FL 33154-1606
Phone (305) 864-7770

Other identifiers 1

IdentifierTypeStateIssuer
045764700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1740589944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10185 COLLINS AVE APT 418",
            "city": "BAL HARBOUR",
            "state": "FL",
            "postal_code": "331541606",
            "telephone_number": "305-864-7770",
            "fax_number": "305-864-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST",
            "address_2": "SUITE 105",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695513",
            "telephone_number": "305-654-5069",
            "fax_number": "305-654-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHMUEL E KATZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-864-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0038847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045764700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.