Provider Demographics
NPI:1851623920
Name:JOSEPH L. KATZ, M.D., P.A.
Entity Type:Organization
Organization Name:JOSEPH L. KATZ, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-232-6111
Mailing Address - Street 1:127 SOUTH EUCLID AVENUE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5116
Mailing Address - Country:US
Mailing Address - Phone:908-232-6111
Mailing Address - Fax:908-233-2483
Practice Address - Street 1:127 SOUTH EUCLID AVENUE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5116
Practice Address - Country:US
Practice Address - Phone:908-232-6111
Practice Address - Fax:908-233-2483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02067300207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2615509Medicaid
CO7666Medicare UPIN
NJ2615509Medicaid
NJ5672160001Medicare NSC