| Nathaniel Holmes, MD | |
|
256 Mason Ave # C, Staten Island, NY 10305-3408 | |
| (718) 226-6398 | |
| (718) 226-1247 |
| Full Name | Nathaniel Holmes |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 38 Years |
| Location | 256 Mason Ave # C, Staten Island, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801868187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 208C00000X (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Raritan Bay Medical Center Perth Amboy Division | Perth amboy, NJ | Hospital |
| Bayshore Medical Center | Holmdel, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1587 |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Entity Name | Meridian Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275362105 PECOS PAC ID: 6507962206 Enrollment ID: O20070425000673 |
| Entity Name | Sovereign Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710282082 PECOS PAC ID: 1456535392 Enrollment ID: O20110418000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Holmes, MD Po Box 23831, Newark, NJ 07189-0001 Ph: (973) 971-5595 | Nathaniel Holmes, MD 256 Mason Ave # C, Staten Island, NY 10305-3408 Ph: (718) 226-6398 |
Tomasine Fodera, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Clove Rd, Staten Island, NY 10305 Phone: 718-815-8100 | |
Dr. Frederick Huie, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 110 Harvard Ave, Staten Island, NY 10301 Phone: 718-450-6979 | |
Maria Fodera, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Clove Rd, Staten Island, NY 10305 Phone: 718-815-8100 | |
Dr. Ireneo Valdes Albano, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 188 Ocean Ter, Staten Island, NY 10301 Phone: 718-816-7962 | |
Dr. Alfred Culliford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 256 Mason Ave, Staten Island, NY 10305 Phone: 718-226-1270 | |
Lance Jung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1050 Clove Rd, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3612 | |
Dr. Anthony Kopatsis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3163 Hylan Blvd, Staten Island, NY 10306 Phone: 718-667-7009 Fax: 718-667-7514 |