Organization Active NPI

Michael S Buchholtz MD PC

  • Hematology & Oncology Physician
  • Greenlawn, NY
National Provider Identifier
1104893932
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MICHAEL S BUCHHOLTZ MD PC
Practice address
270 Pulaski Road
Suite D
Greenlawn, NY 11740
Phone
(631) 427-6060
Fax
(631) 549-4858
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Michael S Buchholtz, MD
Title
Owner
Phone
(631) 427-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

270 Pulaski Road
Suite D
Greenlawn, NY 11740

Mailing address

270 Pulaski Road
Suite D
Greenlawn, NY 11740

Other identifiers 1

IdentifierTypeStateIssuer
02221227MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1104893932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PULASKI ROAD",
            "address_2": "SUITE D",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "11740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PULASKI ROAD",
            "address_2": "SUITE D",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "11740",
            "telephone_number": "631-427-6060",
            "fax_number": "631-549-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S BUCHHOLTZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "BUCHHOLTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-427-6060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02221227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenlawn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.