HOLLY ANDERSEN MD NPI 1619064706

NPI Information

NPI: 1619064706
Provider Name: HOLLY ANDERSEN, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
125 E 72ND ST
NEW YORK, NY
ZIP 10021
Phone: (212) 628-6100
Get Directions

Holly Andersen, MD is a cardiovascular disease internal medicine in New York, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Holly Andersen, MD NPI is 1619064706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

125 E 72ND ST
NEW YORK, NY
ZIP 10021-250
Phone: (212) 628-6100
Fax: (212) 746-8451

The NPI 1619064706 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 9/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		183198	NEW YORK	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	183198	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G04093	MEDICARE UPIN	NEW YORK
2	82K251	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	01360521	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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