JACOB KATZ MD PC
NPI 1962179317
Family Medicine - Sports Medicine in Englishtown, NJ

Active since August 24, 2021
74 US HIGHWAY 9 STE 1, ENGLISHTOWN, NJ 07726(732) 762-5005(732) 410-4676 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2024, Feb 17, 2022, Aug 24, 2021 (3 updates tracked since 2021).

About Jacob Katz Md Pc NPPES

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

JACOB KATZ MD PC (NPI 1962179317) is a healthcare organization registered as a sports medicine in Englishtown, New Jersey and active in the NPI registry since August 2021. The organization lists Jacob Katz, Owner, as its authorized official.

NPPES Registry Identity

NPI1962179317
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameJACOB KATZ MD PC
Location Address74 US HIGHWAY 9 STE 1Englishtown, NJ 07726-9209
Mailing Address74 Us Highway 9 Ste 1bEnglishtown, NJ 07726-9209 · (732) 762-5005 · Fax (732) 410-4676
Fax(732) 410-4676
Organization SubpartNo
Authorized OfficialJacob KatzOwner · (732) 762-5005
Enumeration DateAugust 24, 2021
Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1962179317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
74 US HIGHWAY 9 STE 1, Englishtown, NJ 07726

Other Names 1

Doing Business AsJacob Katz Md Pc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Katz Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20211012002677Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacob Katz MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1538387964
74 US HIGHWAY 9 STE 1
Englishtown, NJ 07726
(732) 762-5005
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacob Katz MD PC's NPI number?

The NPI number for Jacob Katz MD PC is 1962179317. It was assigned to this organization in the NPPES registry on August 24, 2021.

Where is Jacob Katz MD PC located?

Jacob Katz MD PC is located at 74 Us Highway 9 Ste 1, Englishtown, NJ 07726. The listed phone number is (732) 762-5005.

What is Jacob Katz MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Jacob Katz MD PC enrolled in Medicare?

Yes. Jacob Katz MD PC is registered in the Medicare PECOS enrollment system.

When is Jacob Katz MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jacob Katz MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jacob Katz MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Katz MD PC was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.