Organization Active NPI

Marc J Holzman

  • Exclusive Provider Organization
  • Washington, DC
National Provider Identifier
1063785541
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
MD14106 Issued in DC
Legal business name
MARC J HOLZMAN
Practice address
2021 K St NW
Suite 416
Washington, DC 20006-1003
Phone
(202) 296-1333
Fax
(202) 296-9357
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Marc J HolzmanNPI 1033206586
Title
Physician
Phone
(202) 296-1333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X MD14106 DC Primary

Addresses

Primary practice location

2021 K St NW
Suite 416
Washington, DC 20006-1003

Mailing address

2021 K St NW
Suite 416
Washington, DC 20006-1003
Phone (202) 296-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000642 DC Part B Supplier - Clinic/Group Practice 5496914665 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

2021 K St NW
Ste 416
Washington, DC 20006
Phone (202) 296-1333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1063785541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 K ST NW",
            "address_2": "SUITE 416",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061003",
            "telephone_number": "202-296-1333",
            "fax_number": "202-296-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW",
            "address_2": "SUITE 416",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061003",
            "telephone_number": "202-296-1333",
            "fax_number": "202-296-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC J HOLZMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "HOLZMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "202-296-1333"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "DC",
            "license": "MD14106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.