Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 191465 | NY |
N | 207RG0100X | Gastroenterologist | MA64260 | NJ |
NPI | 1043284227 |
---|---|
Provider Name | Dr. Jay Katzman |
First Address | Englewood, NJ 07631-1916 |
Second Address | New York, NY 10021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 22/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0M1903 | HEALTHNET (01) | |
1062949 | FIRST HEALTH (01) | |
133877734 | PHCS (01) | |
1439436 | UNITED (01) | |
2595770 | GHI (01) | NJ |
3V1821 | WELLCHOICE (01) | |
5109136 | AETNA (01) | |
7870256005 | CIGNA (01) | |
G27533 | (02) | |
P391746 | OXFORD (01) | NJ |