Individual provider Active NPI

Michael Katz, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Hackensack, NJ
National Provider Identifier
1922160068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MA063299 Issued in NJ
Practice address
77 Prospect Ave
Suite 1 K
Hackensack, NJ 07601-1913
Phone
(201) 525-4777
Fax
(201) 524-7705
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MA063299 NJ Primary

Addresses

Primary practice location

77 Prospect Ave
Suite 1 K
Hackensack, NJ 07601-1913

Mailing address

77 Prospect Ave
Suite 1 K
Hackensack, NJ 07601-1913
Phone (201) 525-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040323001234 NY Practitioner - NeurologyPractitioner - Pediatric Medicine 9335030865 Reassigns benefits to 2 organizations
I20260415004220 FL Practitioner - Neurology 9335030865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA063299NJMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Dec 1, 2021 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Neurology Medical Service Group, LLP CurrentSince Oct 26, 2015 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Dec 1, 2021 Accepting new patients
Albany Medical College Neurology With Special Qualifications in Child Neurology CurrentSince Dec 1, 2021 Accepting new patients
Albany Medical College Current Accepting new patients
The Nemours Foundation PastSince Mar 9, 2026 Accepting new patients
The Nemours Foundation PastSince Mar 9, 2026 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Organizations & group practices 12

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922160068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PROSPECT AVE",
            "address_2": "SUITE 1 K",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011913",
            "telephone_number": "201-525-4777",
            "fax_number": "201-524-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PROSPECT AVE",
            "address_2": "SUITE 1 K",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011913",
            "telephone_number": "201-525-4777",
            "fax_number": "201-524-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "MA063299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.