1487626651 NPI number — INGRID H OLHOFFER M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487626651 NPI number — INGRID H OLHOFFER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OLHOFFER
Provider First Name:
INGRID
Provider Middle Name:
H
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487626651
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
60 DUTCH HILL RD
Provider Second Line Business Mailing Address:
SUITE 18
Provider Business Mailing Address City Name:
ORANGEBURG
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10962-1723
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-359-4770
Provider Business Mailing Address Fax Number:
845-359-0017

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
60 DUTCH HILL RD
Provider Second Line Business Practice Location Address:
SUITE 18
Provider Business Practice Location Address City Name:
ORANGEBURG
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10962-1723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-359-4770
Provider Business Practice Location Address Fax Number:
845-359-0017
Provider Enumeration Date:
02/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ND0101X , with the licence number:  220134 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207N00000X , with the licence number: 220134 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000054510 . This is a "GHI HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1959464 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7979017 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: P2395976 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2299743 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02087158 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 070016464 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0D2018 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2K3551 . This is a "EMPIRE BLUECROSS BLUESHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 198888 . This is a "WELLCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 17271 . This is a "HUDSON HEALTHPLANS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8506912 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




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