NPI

Timothy Ryan Holland

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2021-09-08
Last updated
2021-09-08

Specialties

Licenses

License NJ
40QA02041400

Location

Practice location
771 Bloomfield Ave
City
West Caldwell NJ
Postal code
07006-6701
Phone
(973) 521-5554

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in West Caldwell, NJ. 402 records in the public file.

Removal request

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