Gary Alan Holtzberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0049031 Issued in NY

Practice address

20504 Hillside Ave
Hollis, NY 11423-2218

Phone

(718) 464-2020

Fax

(718) 464-2020

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sajid Malik, MD PCGroup PAC ID 6103955265, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sajid Malik MD PC

  • Ophthalmology Physician
  • Hicksville, NY
  • NPI 1215161047

  Optometrist

  Medicare reassignment Care Compare group NPD
• Sajid Malik MD PC

  • Ophthalmology Physician
  • Hollis, NY
  • NPI 1598025157

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1477514784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20504 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232218",
            "telephone_number": "718-464-2020",
            "fax_number": "718-464-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20504 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232218",
            "telephone_number": "718-464-2020",
            "fax_number": "718-464-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9620 Metropolitan Ave",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113756625",
            "country_code": "US",
            "telephone_number": "718-793-2020",
            "fax_number": "718-793-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Dyckman St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100401004",
            "country_code": "US",
            "telephone_number": "646-762-2020",
            "fax_number": "212-567-2730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9016 Elmhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727936",
            "country_code": "US",
            "telephone_number": "718-499-4260",
            "fax_number": "718-499-6007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTZBERG",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0049031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01263827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollis Park Manor Nursing Home, Inc.
• Hollis Pediatrics
• Hollis Primary Care P.C.
• Hollis RX Inc
• Holliswood Care Center Inc
• Sherly Horeb
• Mohd A Hossain, M.D
• Howard Bradnock MD PC
• Christine Huger, LMSW
• Imran Medical Care

• Optometrist in Hollis, NY
• Providers in Hollis, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.

Verify at the official NPI Registry.