Individual provider Active NPI

Peter Roman Holyk, M.D.. C.N.S.

  • Public Health & General Preventive Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1821217977
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
ME51545 Issued in FL
Practice address
1345 36TH St
Suite B
Vero Beach, FL 32960-4811
Phone
(772) 567-1500
Fax
(772) 567-1505
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X ME51545 FL Primary

Addresses

Primary practice location

1345 36TH St
Suite B
Vero Beach, FL 32960-4811

Mailing address

680 Jordan Ave
Sebastian, FL 32958-4836
Phone (772) 388-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Ann Dean MD PL PastSince Mar 9, 2026 Accepting new patients

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1821217977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 JORDAN AVE",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584836",
            "telephone_number": "772-388-1222",
            "fax_number": "772-589-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 36TH ST",
            "address_2": "SUITE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604811",
            "telephone_number": "772-567-1500",
            "fax_number": "772-567-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLYK",
        "first_name": "PETER",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.. C.N.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME51545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.