NPIMap

Organization Active NPI

Bruce E. Katz, MD, PC

Doing business as Juva Skin and Laser Center

  • Dermatology Physician
  • Woodside, NY
National Provider Identifier
1962682666
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
134724-1 Issued in NY
Legal business name
BRUCE E. KATZ, MD, PC
Doing business as
Juva Skin and Laser Center
Practice address
4514 48TH St
Woodside, NY 11377-5337
Phone
(718) 729-8512
Fax
(718) 729-3577
NPI assigned
Nov 9, 2007
Last updated
Jan 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Bruce KatzNPI 1154404895
Title
Director
Phone
(212) 688-5882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 134724-1 NY Primary

Addresses

Primary practice location

4514 48TH St
Woodside, NY 11377-5337

Mailing address

45-14 48TH Street
Woodside, NY 11377
Phone (718) 729-8512

Other names 1

  • Juva Skin and Laser Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1962682666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-14 48TH STREET",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-729-8512",
            "fax_number": "718-729-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 48TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775337",
            "telephone_number": "718-729-8512",
            "fax_number": "718-729-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE E. KATZ, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-688-5882",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "134724-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juva Skin and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.