Active NPI
Raymond Alphonso Holloway Jr., LMSW
- Clinical Social Worker
- Ny, NY
National Provider Identifier
1841433893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 047789
- Practice address
- 503 East 70TH St
Ny, NY 10021-4872 - Phone
- (212) 746-7744
- Fax
- (212) 746-7817
- NPI assigned
- Apr 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 047789 | NY | Primary |
Addresses
Primary practice location
503 East 70TH St
Ny, NY 10021-4872
Mailing address
446 East 68TH Street. 3P
New York, NY 10021-4872
Phone (212) 746-7744
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047789 | NY | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1841433893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 EAST 68TH STREET. 3P",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214872",
"telephone_number": "212-746-7744",
"fax_number": "212-746-7817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 EAST 70TH ST",
"city": "NY",
"state": "NY",
"postal_code": "100214872",
"telephone_number": "212-746-7744",
"fax_number": "212-746-7817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "RAYMOND",
"middle_name": "ALPHONSO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-07",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "047789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.