Active NPI
Travis Jason Hollmann, M.D., PH.D.
- Dermatopathology (Pathology) Physician
- New York, NY
National Provider Identifier
1255451910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 225823
- Practice address
- 1275 York Avenue
Memorial Hospital/ Dept. of Pathology
New York, NY 10065 - Phone
- (212) 639-8134
- NPI assigned
- Mar 29, 2007
- Last updated
- Sep 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 225823 | MA | Primary |
Addresses
Primary practice location
1275 York Avenue
Memorial Hospital/ Dept. of Pathology
New York, NY 10065
Mailing address
430 E 63Rd St Apt 10K
New York, NY 10065-0045
Phone (832) 647-6869
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225823 | MA | MD | Dermatopathology (Pathology) Physician |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1255451910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E 63RD ST APT 10K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100650045",
"telephone_number": "832-647-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVENUE",
"address_2": "MEMORIAL HOSPITAL/ DEPT. OF PATHOLOGY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-639-8134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLMANN",
"first_name": "TRAVIS",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "MA",
"license": "225823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.