Provider Demographics
NPI:1043284227
Name:KATZMAN, JAY (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:
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 1:335 MORROW RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-1916
Mailing Address - Country:US
Mailing Address - Phone:212-249-7966
Mailing Address - Fax:212-249-7988
Practice Address - Street 1:3 E 71ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-249-7966
Practice Address - Fax:212-249-7988
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA64260207RG0100X
NY191465207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
133877734OtherPHCS
1439436OtherUNITED
3V1821OtherWELLCHOICE
0M1903OtherHEALTHNET
1062949OtherFIRST HEALTH
7870256005OtherCIGNA
NJ2595770OtherGHI
5109136OtherAETNA
NJP391746OtherOXFORD
3V1821OtherWELLCHOICE
NJ2595770OtherGHI