Provider Demographics
NPI:1376590646
Name:KATZMAN, SCOTT STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:STEVEN
Last Name:KATZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3355 BURNS RD.
Mailing Address - Street 2:STE # 304
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4322
Mailing Address - Country:US
Mailing Address - Phone:561-775-2763
Mailing Address - Fax:561-630-1613
Practice Address - Street 1:375 MOUNT PLEASANT AVE STE 205
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2751
Practice Address - Country:US
Practice Address - Phone:561-855-2828
Practice Address - Fax:561-653-1979
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0065564207X00000X
NY265913-1207X00000X
PAMD459089207XX0005X
NJ25MA08970900207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL43010Medicare UPIN
FL25053Medicare PIN