Ulrika Holm


Address: 539 Castleton Ave, Staten Island, NY 10301-2060

Ulrika Holm (NPI# 1346206984, PAC ID# 8325059827) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1346206984
PAC ID by PECOS 8325059827
Professional Enrollment ID I20070227000807
Full Name Ulrika Holm
Address 539 Castleton Ave
Staten Island
NY 10301-2060
Gender F
Credential MD
Graduation Year 2001
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330160 STATEN ISLAND UNIVERSITY HOSPITAL

Other Locations

Address Phone Organization
355 Bard Ave, Staten Island, NY 10310-1664
539 Castleton Ave, Staten Island, NY 10301-2060

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 539 CASTLETON AVE
City STATEN ISLAND
State NY
Zip 10301-2060

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Name Specialty Organization Address
Patricia Ann Thompson Clinical Social Worker 120 Stuyvesant Pl, Suite 4, Staten Island, NY 10301-1992
Joann Leather Clinical Social Worker Staten Island Mental Health Society, Inc. 669 Castleton Ave, Staten Island, NY 10301-2028
James Reilly Obstetrics/gynecology 668 Castleton Ave, Staten Island, NY 10301-2044
George Antoun Physical Therapy 110 Henderson Ave, Suite 720, Staten Island, NY 10301-2108
Susana Lourido Psychiatry Amboy Medical Practice PC 110 Henderson Ave, Staten Island, NY 10301-2108
Shevi Koschitzki Physician Assistant Synergy Health Medical Solutions PC 110 Henderson Ave, Staten Island, NY 10301-2108
Lucas S Ralston Psychiatry Amboy Medical Practice PC 110 Henderson Ave, Staten Island, NY 10301-2108
Salim Hussain Psychiatry Amboy Medical Practice PC 110 Henderson Ave, Staten Island, NY 10301-2108
Yasmin Nunez Physician Assistant Synergy Health Medical Solutions PC 110 Henderson Ave, Staten Island, NY 10301-2108
Emmanuel Ahipue Nurse Practitioner Project Hospitality Inc 14 Slosson Ter, Staten Island, NY 10301-2507
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Competitor

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City STATEN ISLAND
Zip Code 10301
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty STATEN ISLAND + OBSTETRICS/GYNECOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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