Individual provider Active NPI

Kenneth Neil Holwitt, M.D.

  • Specialist
  • Glen Ridge, NJ
National Provider Identifier
1225083751
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
37001 Issued in NJ
Practice address
123 Highland Ave
Suite G2
Glen Ridge, NJ 07028
Phone
(973) 743-9900
Fax
(973) 743-3222
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 37001 NJ Primary

Addresses

Primary practice location

123 Highland Ave
Suite G2
Glen Ridge, NJ 07028

Mailing address

123 Highland Ave
Suite G2
Glen Ridge, NJ 07028-1527
Phone (973) 743-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000509 NJ Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 9931139409

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225083751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "address_2": "SUITE G2",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "973-743-9900",
            "fax_number": "973-743-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "address_2": "SUITE G2",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "973-743-9900",
            "fax_number": "973-743-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLWITT",
        "first_name": "KENNETH",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "37001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.