Jennifer T Holloway, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036292 Issued in CT

Practice address

172 Mount Pleasant Rd
Newtown, CT 06470-1443

Phone

(203) 426-8442

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Internal Medicine

Education

Creighton University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peter Licht M.D. and Jennifer Holloway M.D LLC.Group PAC ID 7517860802, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Connecticut Home Care Inc Home health agency, Danbury, CT, CCN 077088
• Rvnahealth Home health agency, Ridgefield, CT, CCN 077066
• Danbury Hospital Hospital, Danbury, CT, CCN 070033
• Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.holloway.1@15290.direct.athenahealth.com

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.

• Peter Licht M.D. & Jennifer Holloway M.D LLC.

  • Internal Medicine Physician
  • Newtown, CT
  • NPI 1528286895
  Medicare reassignment Care Compare group NPD

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

• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Care Compare affiliation
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1992910152
  Care Compare affiliation
• Danbury Hospital

  • Dental Clinic/Center
  • Danbury, CT
  • NPI 1003835935

  Hospital

  Care Compare affiliation
• Danbury Hospital

  • General Acute Care Hospital
  • Danbury, CT
  • NPI 1548293343
  Care Compare affiliation
• Rvnahealth, Inc.

  dba Ridgefield Visiting Nurse Association

  • Home Health Agency
  • Ridgefield, CT
  • NPI 1497758874
  Care Compare affiliation
• Western Connecticut Home Care, Inc

  • Home Health Agency
  • Danbury, CT
  • NPI 1083677132
  Care Compare affiliation

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1285601898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 MOUNT PLEASANT RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701443",
            "telephone_number": "203-426-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MOUNT PLEASANT RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701443",
            "telephone_number": "203-426-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001362920",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110176152",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca Lynn Halak, DPT
• Patricia Ann Heinzer, LCSW
• Deanne Jeanne Herring, LMFT
• Hindola Konrad MD, PC
• Christina M Hine
• Robin Horn
• Rebecca Hotchkiss
• Hudson Valley Clinical Services LLC
• Integrated Mental Health Services
• Interpersonal Wellness, LLC

• Internal Medicine Physician in Newtown, CT
• Providers in Newtown, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.