Individual provider Active NPI

Micah Solomon Katz, PA-C

  • Medical Physician Assistant
  • Monroe, NY
National Provider Identifier
1922087808
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
007897 Issued in NY
Practice address
501 State Route 208
Monroe, NY 10950-1611
Phone
(845) 836-1111
Fax
(845) 400-2428
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 007897 NY
Physical Medicine & Rehabilitation Physician 208100000X 007897 NY
Medical Physician Assistant 363AM0700X 007897 NY Primary

Addresses

Primary practice location

501 State Route 208
Monroe, NY 10950-1611

Mailing address

501 State Route 208
Monroe, NY 10950-1611
Phone (845) 836-1111

Other practice location 1

978 Route 45 Ste L1
Pomona, NY 10970-3512
Phone (845) 354-1211

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000381 NY Practitioner - Physician Assistant 5496926297 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.22 of 100Reported as group
Quality
60.82
Improvement activities
40
Cost
62.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aizer Health , Inc. CurrentSince Oct 1, 2011 Accepting new patients
RJZM LLC CurrentSince May 18, 2019 Accepting new patients
Aizer Health , Inc. CurrentSince Oct 1, 2011 Accepting new patients
Marc J. Rosenblatt, D.O., P.C. PastSince Jun 6, 2021 Accepting new patients

Locations

820 Saint Anns Ave
Bronx, NY 10456
Phone (718) 215-8280

4377 Bronx Blvd
Bronx, NY 10466
Phone (718) 325-0700

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

Organizations & group practices 7

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1922087808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STATE ROUTE 208",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501611",
            "telephone_number": "845-836-1111",
            "fax_number": "845-400-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STATE ROUTE 208",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501611",
            "telephone_number": "845-836-1111",
            "fax_number": "845-400-2428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "978 Route 45 Ste L1",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NY",
            "postal_code": "109703512",
            "country_code": "US",
            "telephone_number": "845-354-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MICAH",
        "middle_name": "SOLOMON",
        "name_prefix": "Prof.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "007897",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "007897",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.