Organization Active NPI

Nicholas S Katchen DDS PC

  • Dental Anesthesiology
  • Port Jervis, NY
National Provider Identifier
1992232441
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
057362 Issued in NY
Legal business name
NICHOLAS S KATCHEN DDS PC
Practice address
155 E Main St
Port Jervis, NY 12771-2113
Phone
(845) 856-5049
NPI assigned
May 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Authorized official

Name
Dr. Nicholas Sean Katchen, DDS
Title
President
Phone
(917) 282-2934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AnesthesiologyGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0004X 057362 NY Primary

Addresses

Primary practice location

155 E Main St
Port Jervis, NY 12771-2113

Mailing address

228 E Route 59 Ste 414
Nanuet, NY 10954-2905
Phone (917) 282-2934

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1992232441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E ROUTE 59 STE 414",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542905",
            "telephone_number": "917-282-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E MAIN ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712113",
            "telephone_number": "845-856-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS S KATCHEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "KATCHEN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-282-2934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NY",
            "license": "057362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.