1306827522 NPI number — DR. ALBERT STEWART KATZ M.D.

Table of content: DR. ALBERT STEWART KATZ M.D. (NPI 1306827522)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306827522 NPI number — DR. ALBERT STEWART KATZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KATZ
Provider First Name:
ALBERT
Provider Middle Name:
STEWART
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306827522
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 N VILLAGE AVE
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
ROCKVILLE CENTRE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11570-2341
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-766-2929
Provider Business Mailing Address Fax Number:
516-766-7728

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 N VILLAGE AVE
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
ROCKVILLE CENTRE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11570-2341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-766-2929
Provider Business Practice Location Address Fax Number:
516-766-7728
Provider Enumeration Date:
11/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  096588 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 136196-A32 . This is a "HEALTH FIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 21138 . This is a "VYTRA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2C9361 . This is a "HEALTH NET" identifier . This identifiers is of the category "OTHER".
  • Identifier: AK05747910 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 112425 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00377546 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2213976001 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 096588 . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000039 . This is a "GROUP HEALTH INSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000068632 . This is a "GHI HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2C9361 . This is a "CARE CORE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 340004033 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: AS1596 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".




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