Active NPI
Kenneth H Katz, M.D.
- Pediatrics Physician
- Hartsdale, NY
National Provider Identifier
1851472450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 122652
- Practice address
- 99 Fieldstone Dr
Hartsdale, NY 10530-1564 - Phone
- (914) 428-2120
- Fax
- (914) 428-1989
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 122652 | NY | Primary |
Addresses
Primary practice location
99 Fieldstone Dr
Hartsdale, NY 10530-1564
Mailing address
99 Fieldstone Dr
Hartsdale, NY 10530-1564
Phone (914) 428-2120
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WP237 | Other | NY | OXFORD |
| 00989244 | Medicaid | NY | |
| 1011321 | Other | NY | AETNA HMO |
| 50D371 | Other | NY | EMPIRE BCBS |
| 6129445007 | Other | NY | CIGNA |
| 14734 | Other | NY | HEALTH SOURCE |
| 1C7500 | Other | NY | HEALTH NET |
| 4213546 | Other | NY | AETNA PPO |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122652 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851472450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 FIELDSTONE DR",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301564",
"telephone_number": "914-428-2120",
"fax_number": "914-428-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 FIELDSTONE DR",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301564",
"telephone_number": "914-428-2120",
"fax_number": "914-428-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "KENNETH",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "122652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "WP237",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00989244",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1011321",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "50D371",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6129445007",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SOURCE",
"identifier": "14734",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1C7500",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4213546",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.