MR. DAVID HOLODAK NP
NPI 1639333909
Nurse Practitioner - Family in Latham, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since July 15, 2008PECOS Enrolled

1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110(518) 348-3176 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. David Holodak Np NPPES

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

MR. DAVID HOLODAK NP (NPI 1639333909) is an individual family provider in Latham, New York, licensed in New York (F335545) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Duanesburg.

NPPES Registry Identity

NPI1639333909

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. DAVID HOLODAKCredential: NP

Location Address1205 TROY SCHENECTADY RD STE 101Latham, NY 12110-1074

Mailing Address601 Gates Rd, Suite 3Vestal, NY 13850-2288 · (607) 584-7387 · Fax (607) 772-1223

Phone(518) 348-3176

Sole ProprietorNo

Enumeration DateJuly 15, 2008

Last NPPES UpdateOctober 29, 2019

✔ NPI 1639333909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F335545

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License F335545 (NY)

1205 TROY SCHENECTADY RD STE 101, Latham, NY 12110

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Secondary Practice Location 1

Location 15083 Western TurnpikeDuanesburg, NY 12056 · Phone (518) 895-8200 · Fax (518) 895-8269

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Holodak Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.