Individual provider Active NPI

Lawrence M Holtzin, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1689761652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
190187 Issued in NY
Practice address
801 Avenue N
Brooklyn, NY 11230-5717
Phone
(718) 627-6800
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 190187 NY Primary

Addresses

Primary practice location

801 Avenue N
Brooklyn, NY 11230-5717

Mailing address

PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2035

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
I20041110000976 NY Practitioner - Anesthesiology 9931162948 Reassigns benefits to 2 organizations
I20191227000584 NJ Practitioner - Anesthesiology 9931162948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Emory University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 E 71St St
New York, NY 10021-4154
Phone (212) 249-7966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190187NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Oba Medical Services, PC Anesthesiology CurrentSince Nov 4, 2019 Accepting new patients
General Anesthesia Services,LLP Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Village Anesthesia Services, P.L.L.C. Anesthesiology CurrentSince Apr 16, 2009 Accepting new patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients

Locations

15-01 Pollitt Dr
Ste 8B
Fair Lawn, NJ 07410
Phone (201) 773-6537

46 W Oak St
Amityville, NY 11701
Phone (718) 670-5631

120 Bethpage Rd
Hicksville, NY 11801
Phone (516) 681-2220

954 Lexington Ave
New York, NY 10021
Phone (212) 879-1705

Organizations & group practices 4

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689761652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305717",
            "telephone_number": "718-627-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZIN",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "190187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.