Individual provider Active NPI

Alvin Dennis Holcomb, M.D.

  • Internal Medicine Physician
  • Melville, NY
National Provider Identifier
1447340237
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
191835 Issued in NY
Practice address
100 W Farm Dr
Melville, NY 11747-4155
Phone
(631) 491-4982
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 191835 NY Primary

Addresses

Primary practice location

100 W Farm Dr
Melville, NY 11747-4155

Mailing address

56 Richard Ave
Islip Terrace, NY 11752-2730
Phone (631) 277-1501

Other identifiers 1

IdentifierTypeStateIssuer
01598287MedicaidNY

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
I20040621000149 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5890770309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
24.11 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gramercy Medical Services P.C. Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Opop, LLC Past Accepting new patients
Wellwood Medical PC Internal Medicine Past Accepting new patients
Regional Physician Services, PC Internal Medicine PastSince Mar 10, 2009 Accepting new patients
Wavecrest Home for Adults Past Accepting new patients
Haven Manor Health Care Center LLC Past Accepting new patients
Rockaway Care Center LLC Past Accepting new patients

Locations

3010 W 33rd St
Brooklyn, NY 11224
Phone (347) 713-8648

13916 91st Ave
Jamaica, NY 11435
Phone (718) 454-8556

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

Organizations & group practices 7

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1447340237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 RICHARD AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522730",
            "telephone_number": "631-277-1501",
            "fax_number": "631-277-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W FARM DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474155",
            "telephone_number": "631-491-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "ALVIN",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "191835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01598287",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.