Laura Malissa Katz, RPA-C
Physician Assistant, Medical in West Islip, NY. Individual provider (NPI-1).
NPI number1659664357
StatusActive
Last updated in NPPESMay 27, 2011
Details
- NPI
- 1659664357
- Entity type
- Individual (NPI-1)
- Name
- Laura Malissa Katz
- Credential
- RPA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2011
- Last updated
- May 27, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 014622-1 | NY | Yes |
Practice location
1000 Montauk HwyWest Islip, NY 11795-4927
Phone 631-376-4444
Mailing address
472 Potter BlvdBrightwaters, NY 11718-1612
Phone 631-335-4864
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All 16 Medical Physician Assistant providers in West Islip · All 1,338 providers in West Islip
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