Individual provider Active NPI

Karen M. Latzko, D.O.

  • Urology Physician
  • Princeton, NJ
National Provider Identifier
1831190909
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MB06857800 Issued in NJ
Practice address
134 Stanhope St
Princeton, NJ 08540
Phone
(609) 924-6487
Fax
(609) 921-7020
NPI assigned
Aug 10, 2005
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MB06857800 NJ Primary

Addresses

Primary practice location

134 Stanhope St
Princeton, NJ 08540

Mailing address

134 Stanhope St
Princeton, NJ 08540-5757
Phone (609) 924-6487

Other practice location 1

281 Witherspoon St
suite 100
Princeton, NJ 08540-3210
Phone (609) 924-6487

Other identifiers 1

IdentifierTypeStateIssuer
8281009MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070713000148 NJ Practitioner - Urology 7810097334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB06857800NJMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: klatzko23132@njurology.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1831190909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 STANHOPE ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405757",
            "telephone_number": "609-924-6487",
            "fax_number": "609-921-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 STANHOPE ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-924-6487",
            "fax_number": "609-921-7020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Witherspoon St",
            "address_2": "suite 100",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085403210",
            "country_code": "US",
            "telephone_number": "609-924-6487",
            "fax_number": "609-921-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATZKO",
        "first_name": "KAREN",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MB06857800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8281009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.