DR. DOMINIC HOLLMAN M.D.
NPI 1205030228
Pediatrics - Adolescent Medicine in Bronx, NY

Q: What is Dominic Hollman's NPI number?

The NPI number for Dominic Hollman is 1205030228. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Q: What is Dominic Hollman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Dominic Hollman was last updated on May 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2007PECOS Enrolled

3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 920-6781(718) 920-5289 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2019, Sep 16, 2016 (2 updates tracked since 2016).

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About Dr. Dominic Hollman M.d. NPPES

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

DR. DOMINIC HOLLMAN M.D. (NPI 1205030228) is an individual adolescent medicine provider in Bronx, New York, licensed in New York (235952) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205030228

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameDR. DOMINIC HOLLMANCredential: M.D.

Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403

Mailing Address53 Eighth StNew Rochelle, NY 10801-4825 · (914) 636-1206

Phone(718) 920-6781

Fax(718) 920-5289

Sole ProprietorNo

Enumeration DateJune 13, 2007

Last NPPES UpdateMay 22, 20192 updates tracked since enumeration

✔ NPI 1205030228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in NY · 235952✔ Licensed in CA · C145084

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License 235952 (NY)

3415 BAINBRIDGE AVE, 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)

Dr. Dominic Hollman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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