Organization Active NPI

Howard Holtz, LLC

  • Internal Medicine Physician
  • West Orange, NJ
National Provider Identifier
1306229331
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04098100 Issued in NJ
Legal business name
HOWARD HOLTZ, LLC
Practice address
1500 Pleasant Valley Way
Suite 205
West Orange, NJ 07052-2956
Phone
(973) 669-9797
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Howard Alan Holtz, M.D.NPI 1972528669
Title
Ceo Owner
Phone
(973) 669-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA04098100 NJ Primary

Addresses

Primary practice location

1500 Pleasant Valley Way
Suite 205
West Orange, NJ 07052-2956

Mailing address

1500 Pleasant Valley Way
Suite 205
West Orange, NJ 07052-2956
Phone (973) 669-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150901002868 NJ Part B Supplier - Clinic/Group Practice 5496061707 Receives reassigned benefits from 2 practitioners
Practice locations: Livingston, NJ; West Orange, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1012605Howard Holtz MD LLC1500 Pleasant Valley Way Suite 205, West Orange, NJ 07052Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory

Locations

1500 Pleasant Valley Way
Ste 205
West Orange, NJ 07052
Phone (973) 669-9797

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1306229331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-669-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-669-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD HOLTZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "973-669-9797",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04098100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.