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KATHERINE BLACK MD
NPI 1760123152
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 07, 2022PECOS Enrolled
17 E 102ND ST, NEW YORK, NY 10029(212) 824-7690 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Black Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE BLACK MD (NPI 1760123152) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760123152
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHERINE BLACKCredential: MD
Location Address17 E 102ND STNew York, NY 10029-5204
Mailing Address17 E 102nd StNew York, NY 10029-5204
Phone(212) 824-7690
Sole ProprietorNo
Enumeration DateApril 7, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1760123152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17 E 102ND ST, New York, NY 10029
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER WEINTRAUB
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8551
LOGAN LAURENCE BARTRAM
Internal Medicine (Infectious Disease)
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-7968
LABINIA OSEI-BONSU NP
Nurse Practitioner (Family)
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-5415
GABRIELA SANTIAGO-ACOSTA
Internal Medicine (Rheumatology)
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8551
DR. RACHEL SOLOMON M.D.
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8551
MISS SARAH MARIE PENROSE FNP
Nurse Practitioner (Family)
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-7270
ANJALI GUPTA M.D.
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8551
JENNIFER REESE
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Black's NPI number?

The NPI number for Katherine Black is 1760123152. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Katherine Black located?

Katherine Black practices at 17 E 102nd St, New York, NY 10029. The listed phone number is (212) 824-7690.

What is Katherine Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katherine Black enrolled in Medicare?

Yes. Katherine Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Black was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.