Individual provider Active NPI

Sumakmur Holiwell

  • Student in an Organized Health Care Education/Training Program
  • Flushing, NY
National Provider Identifier
1376329995
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4028 College Point Blvd Apt 1116
Flushing, NY 11354-5151
Phone
(917) 341-3467
NPI assigned
Sep 8, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

4028 College Point Blvd Apt 1116
Flushing, NY 11354-5151

Mailing address

4028 College Point Blvd Apt 1116
Flushing, NY 11354-5151

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031003030 NY Practitioner - Physician Assistant 1355830043 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2626 Halperin Ave
FL 1
Bronx, NY 10461-2631

295 Kimball St
Woodbridge, NJ 07095-2518

3 Times SQ FL
Suite 10
New York, NY 10036-6564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
034583NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Sep 18, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Sep 18, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 18, 2025 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Sep 18, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Sep 18, 2025 Accepting new patients

Locations

616 Castle Hill Ave
Ste A
Bronx, NY 10473

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

2308 Eastchester Rd
Bronx, NY 10469

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892

2722 White Plains Rd
Ste A
Bronx, NY 10467

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

918 Pelham Pkwy S
Ste 1
Bronx, NY 10462

305 E 149th St
Bronx, NY 10451
Phone (212) 470-9229

1990 McGraw Ave
Ste A
Bronx, NY 10462

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

2742 3rd Ave
Ste A
Bronx, NY 10455

5667 Riverdale Ave
Bronx, NY 10471

1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800

5997 Riverdale Ave
Bronx, NY 10471
Phone (718) 601-1900

108 E 183rd St
Bronx, NY 10453
Phone (718) 295-4600

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

Organizations & group practices 6

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": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1376329995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 COLLEGE POINT BLVD APT 1116",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 COLLEGE POINT BLVD APT 1116",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545151",
            "telephone_number": "917-341-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIWELL",
        "first_name": "SUMAKMUR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.