Provider Demographics
NPI:1427030899
Name:COMPREHENSIVE HEALHTCARE AND MEDICAL SERVICES PLLC
Entity type:Organization
Organization Name:COMPREHENSIVE HEALHTCARE AND MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-617-8968
Mailing Address - Street 1:PO BOX 841
Mailing Address - Street 2:3196 KENNEDY BLVD FL 2
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-0841
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:595 MADISON AVE
Practice Address - Street 2:FL 27
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1907
Practice Address - Country:US
Practice Address - Phone:212-688-2650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WEN951Medicare ID - Type Unspecified
NY07459Medicare ID - Type UnspecifiedGHI MEDICARE