Ingolf Holm-Andersen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

108069 Issued in NY

Practice address

10 Medical Plaza
Glen Cove, NY 11542

Phone

(516) 759-0448

Fax

(516) 759-0453

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• I Holm-Andersen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1295833408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLAZA",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-759-0448",
            "fax_number": "516-759-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLAZA",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-759-0448",
            "fax_number": "516-759-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM-ANDERSEN",
        "first_name": "INGOLF",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "108069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "I",
            "last_name": "HOLM-ANDERSEN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Timothy Hill
• Eric M Hochberg, MD
• Rachel Hodelin-Wetzel
• Charles Howard Hoffman, DDS
• Sarah J Hogan, RN, LPN
• Emily Nicole Hon
• Deborah Youngeun Hong, DO
• Eden Honig, D.O.
• Minnie Hou, PA-C
• Margaret Hroch, NP

• Internal Medicine Physician in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.