NPIMap

Individual provider Active NPI

Leonardo Fabio Holguin, M.D.

  • Internal Medicine Physician
  • Red Bank, NJ
National Provider Identifier
1154632701
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08777200 Issued in NJ
Practice address
157 Broad St
Suite 317
Red Bank, NJ 07701-2028
Phone
(732) 530-2960
Fax
(732) 530-7446
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08777200 NJ Primary

Addresses

Primary practice location

157 Broad St
Suite 317
Red Bank, NJ 07701-2028

Mailing address

157 Broad St
Suite 317
Red Bank, NJ 07701-2028
Phone (732) 530-2960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000295 NJ Practitioner - Internal Medicine 1850589292 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plover Inpatient Services LLCGroup PAC ID 1355561663, 158 clinicians
MSK MonmouthGroup PAC ID 1153619291, 300 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000

1945 State Hwy 33
Neptune, NJ 07753-4859
Phone (732) 775-5500

480 Red Hill Rd
Middletown, NJ 07748-3052
Phone (908) 542-3007

Hospital & facility affiliations

  • Hackensack Meridian Hospice Hospice, Neptune, NJ, CCN 311533
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
NJ Acute Care Specialists Professional Corporation Internal Medicine CurrentSince Jan 3, 2022 Accepting new patients
Two River Physician Associates CurrentSince Dec 23, 2014 Accepting new patients
Subacute Medical Associates Internal Medicine CurrentSince Sep 20, 2016 Accepting new patients
Holmdel Physician Associates CurrentSince Dec 23, 2014 Accepting new patients
MSK Monmouth CurrentSince Feb 1, 2020 Accepting new patients
Liberty Med Associates LLC Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC Internal Medicine Past Accepting new patients
Hospital Medicine Associates of Monmouth County, LLC Internal Medicine Past Accepting new patients

Locations

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

999 Palmer Ave
Ste 1
Holmdel, NJ 07733
Phone (732) 670-3313

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: lholguin26076@mskcc.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1154632701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BROAD ST",
            "address_2": "SUITE 317",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012028",
            "telephone_number": "732-530-2960",
            "fax_number": "732-530-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BROAD ST",
            "address_2": "SUITE 317",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012028",
            "telephone_number": "732-530-2960",
            "fax_number": "732-530-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLGUIN",
        "first_name": "LEONARDO",
        "middle_name": "FABIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08777200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.