1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Pediatrics
  6. NPI Profile

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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Dominic Hollman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
0.1 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. ASHLEY RAE NOBOA MSN, FNP-C
Nurse Practitioner (Family)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-7200
MADELEINE ANN STEINHAUER RN
Registered Nurse
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (914) 417-7684
MOHAMMED AMIN FADOL AMIN
Pediatrics (Pediatric Nephrology)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
BASIRAT SHOBERU PHARMD, BCPPS
Pharmacist (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 528-2254
DR. OMOTOLA ADETOUN AKINTOLA MD, MPH
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
SARAH LOIS RADER MD
Pediatrics
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
MAHESH KUMAR ATHWANI MD
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-3000
MARGARET FARRELLY COLLINS FRUZZETTI CPNP
Nurse Practitioner (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2150

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 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.

Where is Dominic Hollman located?

Dominic Hollman practices at 3415 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 920-6781.

What is Dominic Hollman's specialty?

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

Is Dominic Hollman enrolled in Medicare?

Yes. Dominic Hollman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominic Hollman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Hollman reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominic Hollman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dominic Hollman was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.