Hollis Medical Office

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

182925 Issued in NY

Legal business name

HOLLIS MEDICAL OFFICE

Doing business as

Hollis Medical Office

Practice address

19550 Jamaica Ave
Hollis, NY 11423-2664

Phone

(718) 776-9899

Fax

(718) 776-5005

NPI assigned

Jun 19, 2018

Last updated

Jun 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sylvester A Ozoude, MDNPI 1023197621

Title

Internal Medicine

Phone

(718) 776-9899

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hollis Medical Office Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sylvester A Ozoude, MD

  • Internal Medicine Physician
  • Hollis, NY
  • NPI 1023197621
  NPD Authorized official
• Gladys Ozoude, R.N.

  • Nurse Practitioner
  • Hollis, NY
  • NPI 1205155090
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1326532698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232664",
            "telephone_number": "718-776-9899",
            "fax_number": "718-776-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232664",
            "telephone_number": "718-776-9899",
            "fax_number": "718-776-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "OZOUDE",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "718-776-9899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "182925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01511857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollis Medical Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Quinn Hollins
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• Hollis Chemists LLC
• Hollis Drugs Inc
• Hollis Medical Care, P.C.
• Hollis Medical PC
• Hollis Multi-Specialty Dental Group P.C
• Hollis Operating Co LLC (Holliswood Center for Rehabilitation and Healthcare)
• Hollis Park Manor Nursing Home, Inc.
• Hollis Pediatrics

• Internal Medicine Physician in Hollis, NY
• Providers in Hollis, 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 Jun 19, 2018; 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.