Richard F Holub, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

120621 Issued in NY

Practice address

760 Madison Ave
Albany, NY 12208-3428

Phone

(518) 449-2662

Fax

(518) 449-1342

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Neurological Clinical Associate PC

  • Neurology Physician
  • Albany, NY
  • NPI 1144267956
  NPD (past) Authorized official

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1497701635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083428",
            "telephone_number": "518-449-2662",
            "fax_number": "518-449-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083428",
            "telephone_number": "518-449-2662",
            "fax_number": "518-449-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLUB",
        "first_name": "RICHARD",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "120621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00531911",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Donna Holt, LMSW
• Ciera Holt
• Cynthia Ann Holt, RN
• Nikki Holt, LMSW
• Robert K Holterman, MD
• Moriah Holubek
• Amy Beth Holzhauer
• Connor Holzke, MD
• Home Connection Companions
• Homebound Rebound, PLLC

• Neurology Physician in Albany, NY
• Providers in Albany, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.