Organization Active NPI

Michael S. Buchholtz, MD PC

  • Specialist
  • Greenlawn, NY
National Provider Identifier
1881847051
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
166089 Issued in NY
Legal business name
MICHAEL S. BUCHHOLTZ, MD PC
Practice address
270 Pulaski Rd
Suite D
Greenlawn, NY 11740-1605
Phone
(631) 427-6060
Fax
(631) 427-2040
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Debi Baur
Title
Biller
Phone
(631) 427-1938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 166089 NY Primary

Addresses

Primary practice location

270 Pulaski Rd
Suite D
Greenlawn, NY 11740-1605

Mailing address

270 Pulaski Rd
Suite D
Greenlawn, NY 11740-1605
Phone (631) 427-6060

Other identifiers 1

IdentifierTypeStateIssuer
01568890MedicaidNY

National Provider Directory

National Provider Directory

Locations

270 Pulaski Rd
Ste D
Greenlawn, NY 11740
Phone (631) 427-6060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1881847051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PULASKI RD",
            "address_2": "SUITE D",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401605",
            "telephone_number": "631-427-6060",
            "fax_number": "631-427-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PULASKI RD",
            "address_2": "SUITE D",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401605",
            "telephone_number": "631-427-6060",
            "fax_number": "631-427-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. BUCHHOLTZ, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "BAUR",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "631-427-1938"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "166089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01568890",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenlawn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.