Active NPI
Marshall Katz, C.O.
- Orthotist
- Great Neck, NY
National Provider Identifier
1780960559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO1909
- Practice address
- 800 Northern Blvd
Great Neck, NY 11021-5340 - Phone
- (516) 829-6188
- Fax
- (516) 829-1488
- NPI assigned
- Oct 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO1909 | VA | Primary |
Addresses
Primary practice location
800 Northern Blvd
Great Neck, NY 11021-5340
Mailing address
24 Hofstra CT
Plainview, NY 11803-1813
Phone (516) 380-0185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO1909 | VA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1780960559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 HOFSTRA CT",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031813",
"telephone_number": "516-380-0185",
"fax_number": "516-829-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215340",
"telephone_number": "516-829-6188",
"fax_number": "516-829-1488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "MARSHALL",
"credential": "C.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "VA",
"license": "CO1909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.