Individual provider Active NPI

Robert N. Holtzman, M.D.

  • Specialist
  • Rockville Centre, NY
National Provider Identifier
1164571691
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
106542 Issued in NY
Practice address
100 Merrick Road
Suite 128W
Rockville Centre, NY 11570-4821
Phone
(516) 255-9031
Fax
(516) 255-6010
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 106542 NY Primary

Addresses

Primary practice location

100 Merrick Road
Suite 128W
Rockville Centre, NY 11570-4821

Mailing address

P.O. Box 9019
Hicksville, NY 11802-9019
Phone (516) 442-3461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert N. Holtzman, M.D., PC PastSince Apr 29, 1998 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
NSPC Plastics PastSince Feb 1, 2011 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1164571691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9019",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118029019",
            "telephone_number": "516-442-3461",
            "fax_number": "516-442-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRICK ROAD",
            "address_2": "SUITE 128W",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704821",
            "telephone_number": "516-255-9031",
            "fax_number": "516-255-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "ROBERT",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "106542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.