1679562821 NPI number — DR. JULIA D KATZ MD

Table of content: DR. JULIA D KATZ MD (NPI 1679562821)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679562821 NPI number — DR. JULIA D KATZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KATZ
Provider First Name:
JULIA
Provider Middle Name:
D
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1679562821
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
572 PARK AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10065-7370
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-751-8374
Provider Business Mailing Address Fax Number:
212-751-8379

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
572 PARK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10065-7370
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-751-8374
Provider Business Practice Location Address Fax Number:
212-751-8379
Provider Enumeration Date:
10/20/2005

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: 207W00000X , with the licence number:  200777 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207W00000X , with the licence number: MA72439 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0401949 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200777A40 . This is a "HEALTHFIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3C1014 . This is a "HEALTHNET PHS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P2498191 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: KJ0777 . This is a "ATLANTIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 134177311 . This is a "LOCAL 1199" identifier . This identifiers is of the category "OTHER".
  • Identifier: 134177311 . This is a "PHCS GUARDIAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 134177311 . This is a "EMPIRE PLAN OF NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 134177311 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 384A52 . This is a "EMPIRE BLUE CROSS BLUE SH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010200777NY01 . This is a "HORIZON HEALTHCARE OF NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 136805CR . This is a "PREFERRED CARE PREFERRED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2098181 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7932254 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02151797 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3015776 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




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