Provider Demographics
NPI:1891870424
Name:JAY W KATZ MD PA
Entity Type:Organization
Organization Name:JAY W KATZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:W
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-495-1960
Mailing Address - Street 1:5329 W ATLANTIC AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8176
Mailing Address - Country:US
Mailing Address - Phone:561-495-1960
Mailing Address - Fax:
Practice Address - Street 1:5329 W ATLANTIC AVE
Practice Address - Street 2:STE 204
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8176
Practice Address - Country:US
Practice Address - Phone:561-495-1960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66335207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ0322Medicare PIN
FLC08604Medicare UPIN