Active NPI
Alvin Dennis Holcomb, M.D.
- Internal Medicine Physician
- Melville, NY
National Provider Identifier
1447340237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 191835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01598287 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 24.11 of 100
- 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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gramercy Medical Services P.C. | Internal Medicine | Current | Accepting new patients |
| Opop, LLC | Past | Accepting new patients | |
| Wellwood Medical PC | Internal Medicine | Past | Accepting new patients |
| Regional Physician Services, PC | Internal Medicine | Past | 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
- 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.
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- Internal Medicine Physician
- Brooklyn, NY
- NPI 1508857343
-
- Skilled Nursing Facility
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- NPI 1720249493
-
- Assisted Living Facility
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- NPI 1790411510
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1457454902
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.