Individual provider Active NPI

Anita Holman, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1336394436
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
257099 Issued in NY
Practice address
97 Amity St
Department of OB/GYN
Brooklyn, NY 11201-6004
Phone
(718) 780-1884
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 257099 NY Primary

Addresses

Primary practice location

97 Amity St
Department of OB/GYN
Brooklyn, NY 11201-6004

Mailing address

97 Amity St
Department of OB/GYN
Brooklyn, NY 11201-6004
Phone (718) 780-1884

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL http://epicproxy-pib.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2? Health Information Exchange (HIE)

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20101118000061 NY Practitioner - Obstetrics/Gynecology 3779779699 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Obstetrics & Gynecology CurrentSince Jun 24, 2019 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Jul 25, 2024 Accepting new patients
St. Barnabas OB GYN, PC Obstetrics & Gynecology CurrentSince Feb 17, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 24, 2019 Accepting new patients
Trustees of Columbia University in the City of New York Obstetrics & Gynecology CurrentSince Jun 24, 2019 Accepting new patients
TJH Medical Services, P.C. Obstetrics & Gynecology CurrentSince Feb 2, 2012 Accepting new patients
OB GYN Associates at Long Island College Hospital Obstetrics & Gynecology Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

270 W 231st St
Bronx, NY 10463
Phone (212) 305-8509

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: aholman4019937@nychhc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1336394436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 AMITY ST",
            "address_2": "DEPARTMENT OF OB/GYN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016004",
            "telephone_number": "718-780-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 AMITY ST",
            "address_2": "DEPARTMENT OF OB/GYN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016004",
            "telephone_number": "718-780-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "257099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "http://epicproxy-pib.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2?",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "270 W 231st St",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104633904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.