Individual provider Active NPI

Douglas S. Holden, M.D.

  • Orthopaedic Surgery Physician
  • Fair Lawn, NJ
National Provider Identifier
1861469694
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA07232800 Issued in NJ
Practice address
28-04 Broadway
Garden State Orthopaedic Associates
Fair Lawn, NJ 07410-3913
Phone
(201) 791-4434
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA07232800 NJ Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 25MA07232800 NJ
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MA07232800 NJ
Orthopaedic Trauma Physician 207XX0801X 25MA07232800 NJ

Addresses

Primary practice location

28-04 Broadway
Garden State Orthopaedic Associates
Fair Lawn, NJ 07410-3913

Mailing address

28-04 Broadway
Garden State Orthopaedic Associates
Fair Lawn, NJ 07410-3913
Phone (201) 791-4434

Other identifiers 1

IdentifierTypeStateIssuer
8550000MedicaidNJ

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
I20110203001080 NJ Practitioner - Orthopedic SurgeryPractitioner - Psychiatry 2163519778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 1995
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

28 -04 Broadway
Fair Lawn, NJ 07410-3920
Phone (201) 791-4434

400 Franklin Tpke
Suite 400
Mahwah, NJ 07430-3516
Phone (201) 825-2266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07232800NJMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Orthopaedic Associates, P.a. Orthopaedic Surgery CurrentSince Jul 16, 2001 Accepting new patients
Garden State Orthopaedic Associates, P.a. Orthopaedic Surgery CurrentSince Jul 16, 2001 Accepting new patients
Garden State Surgical Center, LLC CurrentSince Dec 1, 2021 Accepting new patients
ER Express Care LLC PastSince Mar 1, 2013 Accepting new patients
Garden State Orthopaedic Associates, P.a. Orthopaedic Surgery Past Accepting new patients

Locations

28-04 Broadway
Fair Lawn, NJ 07410
Phone (201) 791-4434

400 Franklin Tpke
Ste 400
Mahwah, NJ 07430
Phone (201) 825-2266

400 Franklin Tpke
Ste 112
Mahwah, NJ 07430
Phone (201) 825-2266

Organizations & group practices 5

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1861469694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "address_2": "GARDEN STATE ORTHOPAEDIC ASSOCIATES",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "address_2": "GARDEN STATE ORTHOPAEDIC ASSOCIATES",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "DOUGLAS",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA07232800",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA07232800",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA07232800",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NJ",
            "license": "25MA07232800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8550000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.