Physician Compare National (NPI:1528072576)

HEALTHCARE PROVIDER: IRA JAY HOLLANDER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1528072576
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638295157
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100922000001
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOLLANDER
	Individual professional last name
Provider First Name	IRA
	Individual professional first name
Provider Middle Name	JAY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3060 OCEAN AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE LO
	Group Practice or individual's line 2 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112353354
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7183320006
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330194
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAIMONIDES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330214
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NEW YORK UNIVERSITY LANGONE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y