MEDICARE: ANDREA G KATZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician	25MA05609200	NJ
2	208000000X	Pediatrics Physician	25MA05609200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0331009015	OTHER	NJ	CIGNA PIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	TS106	OTHER	NJ	OXFORD PIN
4	0639558000	OTHER	NJ	AMERIHEALTH HMO PIN
5	000735547	OTHER	PA	HIGH MARK PA BLUE SHIELD
6	1034551	OTHER	NJ	HORIZON NJ HEALTH, WARREN
7	503382	OTHER	NJ	AETNA HMO PIN
8	735547	OTHER	NJ	AMERIHEALTH PPO PIN
9	1082296	OTHER	NJ	HORIZON NJ HEALTH, FANWOO

General Provider Information

NPI Number	:	1124011903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA G KATZ MD

Provider Business Mailing Address
First Line	:	76 STIRLING RD STE 201
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-5778
Country	:	US
Telephone Number	:	908-755-5437
Fax Number	:	908-755-6905

Provider Business Practice Location Address
First Line	:	76 STIRLING RD STE 201
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-5778
Country	:	US
Telephone Number	:	908-755-5437
Fax Number	:	908-755-6905

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	06/10/2026

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