Individual provider Active NPI

Jason Andrew Holdych, M.D.

  • Internal Medicine Physician
  • Larchmont, NY
National Provider Identifier
1801282660
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
294809 Issued in NY
Practice address
2345 Boston Post Rd
Larchmont, NY 10538
Phone
(914) 849-7400
NPI assigned
Apr 8, 2015
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 294809 NY
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 294809 NY Primary

Addresses

Primary practice location

2345 Boston Post Rd
Larchmont, NY 10538

Mailing address

2345 Boston Post Rd
Larchmont, NY 10538-3556
Phone (914) 849-7400

Other practice location 1

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-2560

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190130000800 NY Practitioner - Internal MedicinePractitioner - Hospitalist 5092052928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2345 Boston Post Rd
Larchmont, NY 10538-3556
Phone (914) 421-0123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294809NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Multi-Specialty CurrentSince Jan 1, 2021 Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

2345 Boston Post Rd
Larchmont, NY 10538
Phone (914) 833-0444

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

90 S Ridge St
Ste LL-9
Rye Brook, NY 10573
Phone (914) 253-6504

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1801282660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383556",
            "telephone_number": "914-849-7400",
            "fax_number": "914-849-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "10538",
            "telephone_number": "914-849-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 E Post Rd",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106014607",
            "country_code": "US",
            "telephone_number": "914-681-2560",
            "fax_number": "914-681-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDYCH",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "294809",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "294809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.