Individual provider Active NPI

Alan A. Katz, M.D.

  • Emergency Medicine Physician
  • Plainview, NY
National Provider Identifier
1760468540
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
186909-1 Issued in NY
Practice address
1117 Old Country Rd
Plainview, NY 11803-5019
Phone
(516) 938-5900
Fax
(516) 495-4577
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 186909-1 NY Primary

Addresses

Primary practice location

1117 Old Country Rd
Plainview, NY 11803-5019

Mailing address

1345 RXR PLZ FL 13
Uniondale, NY 11556-1301
Phone (516) 453-0435

Other practice location 1

519 W Jericho Tpke
Smithtown, NY 11787-2619
Phone (631) 360-5900

Other identifiers 2

IdentifierTypeStateIssuer
701V61OtherNYBLUECROSS BLUESHIELD
01397497MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050621001186 NY Practitioner - Emergency Medicine 3577508449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prince Medicine PCGroup PAC ID 0941478978, 5 clinicians

Practice addresses (Care Compare)

80 Crossways Park Dr
Woodbury, NY 11797-2047
Phone (516) 802-5025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186909-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prince Medicine PC CurrentSince Sep 1, 2018 Accepting new patients
Island Medical Physicians, PC Emergency Medicine Past Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine Past Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine Past Accepting new patients
Pegasus Emergency Group Gadsden, LLC Emergency Medicine Past Accepting new patients
Island Medical Alabama LLC Emergency Medicine Past Accepting new patients

Locations

160 E 32nd St
Ste 100
New York, NY 10016

80 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 802-5025

80 Crossways Park Dr
Ste 200
Woodbury, NY 11797
Phone (516) 802-5025

Organizations & group practices 6

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1760468540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ FL 13",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-453-0435",
            "fax_number": "646-846-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035019",
            "telephone_number": "516-938-5900",
            "fax_number": "516-495-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 W Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117872619",
            "country_code": "US",
            "telephone_number": "631-360-5900",
            "fax_number": "631-360-9403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "ALAN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "186909-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "701V61",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01397497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.