Active NPI
Daniella Holzer, PA-C
- Physician Assistant
- Smithtown, NY
National Provider Identifier
1902492226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 026324
- Practice address
- 496 Smithtown Byp Ste 200
Smithtown, NY 11787-5011 - Phone
- (631) 361-5300
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 026324 | NY | Primary |
Addresses
Primary practice location
496 Smithtown Byp Ste 200
Smithtown, NY 11787-5011
Mailing address
15910 71St Ave Apt 4D
Flushing, NY 11365-3028
Phone (201) 906-4434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36 Laurel Ave
South Fallsburg, NY 12779-5804
Phone (845) 482-9394
5 Twin Ave
Spring Valley, NY 10977-3950
Phone (845) 354-9300
728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refuah Health Center, Inc. | Past | Accepting new patients | |
| MK Spine and Joint Rehab, P.C. | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://api.platform.athenahealth.com/23033/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1669470019
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Smithtown, NY
- NPI 1720526999
-
- Pain Clinic/Center
- Hauppauge, NY
- NPI 1699239715
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1952678245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1902492226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15910 71ST AVE APT 4D",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113653028",
"telephone_number": "201-906-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 SMITHTOWN BYP STE 200",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875011",
"telephone_number": "631-361-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZER",
"first_name": "DANIELLA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "026324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.