Individual provider Active NPI

Norman Holzberg, M.D.

  • Specialist
  • West Orange, NJ
National Provider Identifier
1689679904
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA04843600 Issued in NJ
Practice address
741 Northfield Ave
Ste 104
West Orange, NJ 07052-1104
Phone
(973) 243-0600
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA04843600 NJ Primary

Addresses

Primary practice location

741 Northfield Ave
Ste 104
West Orange, NJ 07052-1104

Mailing address

741 Northfield Ave
Ste 104
West Orange, NJ 07052-1104
Phone (973) 243-0600

Other identifiers 1

IdentifierTypeStateIssuer
5163200MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20101020000013 NJ Practitioner - Otolaryngology 4183527542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04843600NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Otolaryngology of NJ, LLC Specialist CurrentSince Sep 20, 1990 Accepting new patients

Locations

741 Northfield Ave
Ste 104
West Orange, NJ 07052
Phone (201) 243-0600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1689679904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 NORTHFIELD AVE",
            "address_2": "STE 104",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521104",
            "telephone_number": "973-243-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 NORTHFIELD AVE",
            "address_2": "STE 104",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521104",
            "telephone_number": "973-243-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZBERG",
        "first_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04843600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5163200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.