Holanda P Bravo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA09196200 Issued in NJ

Practice address

913 Main Ave
Passaic, NJ 07055-8540

Phone

(973) 458-8000

Fax

(973) 458-8425

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGCADD/Endpoint/IGCADD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Passaic Pediatrics II PA

  • Specialist
  • Passaic, NJ
  • NPI 1306240270
  NPD
• Passaic Pediatrics II PA

  • Pediatrics Physician
  • Passaic, NJ
  • NPI 1942256342
  NPD
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  NPD (past)
• Pediatric Family MDPC

  • Pediatrics Physician
  • Jackson Heights, NY
  • NPI 1104975796
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1033268669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558540",
            "telephone_number": "973-458-8000",
            "fax_number": "973-458-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558540",
            "telephone_number": "973-458-8000",
            "fax_number": "973-458-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "HOLANDA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "241515-1",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09196200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yosef C Borenstein, DPT
• Boulevard Hospitalists LLC
• Marvin Tillman Boyd, M.D.
• Armando Medina Braganza, MD
• Kunal Brahmbhatt, M.D.
• Alan Brewster, D.C.
• Deborah Brickman, MS, RD, CDN, CDCES
• James Brief, M.D.
• Rebecca Brisman, CCC-SLP
• Broadway Dental Center PC (Broadway Dental Center)

• Pediatrics Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.