Individual provider Active NPI

Karintha Holifield, M.D.

  • Internal Medicine Physician
  • Lyndhurst, NJ
National Provider Identifier
1649422627
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11071600 Issued in NJ
Practice address
125 Chubb Ave Ste 100S
Lyndhurst, NJ 07071-3504
Phone
(908) 392-1948
NPI assigned
Oct 21, 2008
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 25MA11071600 NJ Primary

Addresses

Primary practice location

125 Chubb Ave Ste 100S
Lyndhurst, NJ 07071-3504

Mailing address

853 Riverside Dr Apt 6D
New York, NY 10032-6438
Phone (786) 877-8646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161102002754 NY Practitioner - Internal Medicine 1052699568 Reassigns benefits to 1 organization
I20240930000552 NJ Practitioner - Internal Medicine 1052699568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2640 Pitkin Ave
Brooklyn, NY 11208-2763
Phone (718) 277-0386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11071600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Housing Works Health Services III, Inc. CurrentSince Feb 2, 2025 Accepting new patients
Medical Service Professionals of NJ LLC CurrentSince Sep 13, 2024 Accepting new patients
Housing Works Health Services III, Inc. Past Accepting new patients

Locations

30 Montgomery St
Fl 15
Jersey City, NJ 07302
Phone (551) 247-1029

125 Chubb Ave
Ste 100
Lyndhurst, NJ 07071
Phone (201) 559-7600

125 Chubb Ave
Ste 100S
Lyndhurst, NJ 07071
Phone (201) 559-7600

57 Willoughby St
Brooklyn, NY 11201
Phone (718) 408-6522

57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475

145 E 125th St
New York, NY 10035
Phone (646) 595-7440

145 E 125th St
Frnt 3
New York, NY 10035
Phone (718) 408-6522

145 E 125th St
Ste 4
New York, NY 10035

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1649422627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 RIVERSIDE DR APT 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100326438",
            "telephone_number": "786-877-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHUBB AVE STE 100S",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713504",
            "telephone_number": "908-392-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIFIELD",
        "first_name": "KARINTHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11071600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.