Individual provider Active NPI

Jeffery Stuart Katz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Vineland, NJ
National Provider Identifier
1902812845
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD01066 Issued in NJ
Practice address
92 S State St
Vineland, NJ 08360-4851
Phone
(856) 691-1287
Fax
(856) 691-3037
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD01066 NJ Primary

Addresses

Primary practice location

92 S State St
Vineland, NJ 08360-4851

Mailing address

92 S State St
Vineland, NJ 08360-4851
Phone (856) 691-1287

Other identifiers 2

IdentifierTypeStateIssuer
KA460665OtherNJMEDICARE PTAN
2502607MedicaidNJ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110510000796 NJ Practitioner - Podiatry 6002975026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey S Katz DPM PAGroup PAC ID 4284793209, 4 clinicians

Practice addresses (Care Compare)

92 S State St
Vineland, NJ 08360-4851
Phone (856) 691-1287

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue920
Removal or shaving of skin growth489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD01066NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S Katz DPM PA Foot & Ankle Surgery CurrentSince Jan 1, 1989 Accepting new patients

Locations

92 S State St
Vineland, NJ 08360
Phone (609) 691-1287

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1902812845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 S STATE ST",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604851",
            "telephone_number": "856-691-1287",
            "fax_number": "856-691-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 S STATE ST",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604851",
            "telephone_number": "856-691-1287",
            "fax_number": "856-691-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JEFFERY",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD01066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA460665",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.