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MATTHEW CUNNIFF HOLM MD
NPI 1114488715
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 26, 2019PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 741-2426 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Cunniff Holm Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW CUNNIFF HOLM MD (NPI 1114488715) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of University Of Washington School Of Medicine (2019).

NPPES Registry Identity

NPI1114488715
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW CUNNIFF HOLMCredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401
Phone(718) 741-2426
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2019
Enumeration DateMarch 26, 2019
✔ NPI 1114488715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Cunniff Holm Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981089489
PECOS Enrollment IDI20220920002135
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEONARD FREEMAN MD
Nuclear Medicine
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-6060
PING ZHOU MD
Pediatrics (Pediatric Endocrinology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4664
DR. RICHARD HERBERT SAVEL MD
Internal Medicine (Critical Care Medicine)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 920-5443
DR. THOMAS B PERERA M.D.
Emergency Medicine
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-6626
DR. FRED SMITH M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
111 E 210TH ST, MONTEFIORE MED CTR DEPT PATHOLOGY
BRONX, NY 10467
Bronx County (718) 920-4976
HENRY M USHAY MD
Pediatrics
111 E 210TH ST, ROSENTHAL 4
BRONX, NY 10467
Bronx County (718) 741-2463
DR. ANDREA MARIE PORROVECCHIO MD
Internal Medicine
111 E 210TH ST, NW6
BRONX, NY 10467
Bronx County (718) 920-3822
SARAH BELLEMARE M.D.
Surgery
111 E 210TH ST, ROSENTHAL 2
BRONX, NY 10467
Bronx County (718) 920-5926

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Holm's NPI number?

The NPI number for Matthew Holm is 1114488715. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Matthew Holm located?

Matthew Holm practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 741-2426.

What is Matthew Holm's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Holm enrolled in Medicare?

Yes. Matthew Holm is registered in the Medicare PECOS enrollment system.

Is Matthew Holm affiliated with any hospitals?

According to CMS data, Matthew Holm is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Holm was last updated on March 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.