31D2279184 CLIA NUMBER - JACOB KATZ MD PC DBA KATZ MEDICAL GROUP

Laboratory Demographics

CLIA Number: 31D2279184

Facility Name: JACOB KATZ MD PC DBA KATZ MEDICAL GROUP

Facility Address:
193 US ROUTE 9 SOUTH SUITE 1B
MANALAPAN, NJ
ZIP 07726
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Facility Phone Number: 732 762-5005

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962179317

Taxonomy: 207QS0010X - Family Medicine
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.

CLIA Record

Field Name Field Value
CLIA Number 31D2279184
LAB Type Physician Office
Facility Name JACOB KATZ MD PC DBA KATZ MEDICAL GROUP
Street 193 US ROUTE 9 SOUTH SUITE 1B
City MANALAPAN
State NJ
ZIP 07726
Phone 732 762-5005
CertificateType 4
CertificateEffectiveDate 3/30/2023
CertificateExpirationDate 3/29/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024