Organization Active NPI

Holtzin Family Medicine, LLC

  • Family Medicine Physician
  • Northfield, NJ
National Provider Identifier
1649552753
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOLTZIN FAMILY MEDICINE, LLC
Practice address
802 Tilton Rd
Suite 103
Northfield, NJ 08225-1233
Phone
(609) 277-7382
Fax
(609) 277-7385
NPI assigned
Sep 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Carolyn Clare Downs-Holtzin
Title
Practice Administrator
Phone
(609) 277-7382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

802 Tilton Rd
Suite 103
Northfield, NJ 08225-1233

Mailing address

802 Tilton Rd
Suite 103
Northfield, NJ 08225-1233
Phone (609) 277-7382

Other identifiers 1

IdentifierTypeStateIssuer
25MB05678600OtherNJMEDICAL LICENSE #

National Provider Directory

National Provider Directory

Locations

802 Tilton Rd
Ste 103
Northfield, NJ 08225
Phone (609) 277-7382

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3583/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1649552753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 TILTON RD",
            "address_2": "SUITE 103",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251233",
            "telephone_number": "609-277-7382",
            "fax_number": "609-277-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 TILTON RD",
            "address_2": "SUITE 103",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251233",
            "telephone_number": "609-277-7382",
            "fax_number": "609-277-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLTZIN FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DOWNS-HOLTZIN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "CLARE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "609-277-7382",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "25MB05678600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.