Healthcare Provider Details

I. General information

NPI: 1528325453
Provider Name (Legal Business Name): DR. HOLLIN ELIZABETH CALLOWAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH HOLLIN CALLOWAY M.D.

II. Dates (important events)

Enumeration Date: 04/17/2012
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 MARINE VIEW PLZ STE 400
HOBOKEN NJ
07030-5722
US

IV. Provider business mailing address

660 WHITE PLAINS RD FL 4
TARRYTOWN NY
10591-5139
US

V. Phone/Fax

Practice location:
  • Phone: 201-792-1109
  • Fax: 201-792-1145
Mailing address:
  • Phone: 914-984-2546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA126431
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberA126431
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number25MA10438900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: