Individual provider Active NPI

Michelle Weiss Katzow, MD

  • Pediatric Obesity Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1972815231
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Obesity Medicine PhysicianTaxonomy code 2080B0002X
License
270333 Issued in NY
Practice address
410 Lakeville Rd Ste 108
New Hyde Park, NY 11042-1102
Phone
(516) 465-5215
Fax
(516) 465-5399
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Obesity Medicine Physician 2080B0002X 270333 NY Primary
Pediatrics Physician 208000000X MT197040 PA

Addresses

Primary practice location

410 Lakeville Rd Ste 108
New Hyde Park, NY 11042-1102

Mailing address

34TH St. & Civic Center Blvd
The Children'S Hospital of Philadelphia, Room 9NW55
Philadelphia, PA 19104-4399
Phone (215) 590-2437

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161020000701 NY Practitioner - Pediatric Medicine 7517245814 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT197040PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Langone Hospitals CurrentSince Oct 1, 2018 Accepting new patients
New York University Pediatrics CurrentSince Oct 1, 2016 Accepting new patients
Maimonides Medical Center Current Accepting new patients
North Shore-Lij Medical PC CurrentSince Oct 8, 2019 Accepting new patients
NYU Langone Hospitals CurrentSince Oct 1, 2018 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
New York University CurrentSince Oct 1, 2016 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

410 Lakeville Rd
Ste 108
New Hyde Park, NY 11042
Phone (516) 465-3270

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

410 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 465-3270

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: michellekatzow@mai.allscriptsdirect.net
  • Direct secure messaging: mkatzow677592@nychhc.direct-ci.com
  • Direct secure messaging: michellekatzow@nslijmedgr.allscriptsdirect.net

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1972815231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34TH ST. & CIVIC CENTER BLVD",
            "address_2": "THE CHILDREN'S HOSPITAL OF PHILADELPHIA, ROOM 9NW55",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044399",
            "telephone_number": "215-590-2437",
            "fax_number": "215-590-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD STE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421102",
            "telephone_number": "516-465-5215",
            "fax_number": "516-465-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZOW",
        "first_name": "MICHELLE",
        "middle_name": "WEISS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080B0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Obesity Medicine",
            "state": "NY",
            "license": "270333",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT197040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.