Organization Active NPI

Ingolf Holm-Anderson

  • Internal Medicine Physician
  • Glen Cove, NY
National Provider Identifier
1861707952
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
108069 Issued in NY
Legal business name
INGOLF HOLM-ANDERSON
Practice address
10 Medical Plaza
Glen Cove, NY 11542
Phone
(516) 759-0448
Fax
(516) 759-0449
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Ingolf Holm-Andersen, MD
Title
Owner
Phone
(516) 759-0448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 108069 NY Primary

Addresses

Primary practice location

10 Medical Plaza
Glen Cove, NY 11542

Mailing address

10 Medical Plaza
Glen Cove, NY 11542
Phone (516) 759-0448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1861707952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLAZA",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-759-0448",
            "fax_number": "516-759-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLAZA",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-759-0448",
            "fax_number": "516-759-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGOLF HOLM-ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "HOLM-ANDERSEN",
        "authorized_official_first_name": "INGOLF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-759-0448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "108069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.