Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Katanov, PA

Individual provider Surgical Physician Assistant · NPI 1396762191

Jacob Katanov, PA is a Surgical Physician Assistant in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

540 Atlantic Ave
Brooklyn, NY 11217-1985
Phone: (718) 855-4900
Fax: (718) 802-0631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 007935 (NY)

Record details

NPI number1396762191
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 16, 2006
Last updated in NPPESJuly 8, 2007

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