Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin D Holder, MD

Individual provider Family Medicine Physician · NPI 1063543254

Dr. Kevin D Holder, MD is a Family Practice in South Orange, New Jersey. Graduated from Rutgers New Jersey Medical School in 1983, 43 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
43
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5 Stanley Rd
South Orange, NJ 07079-2721
Phone: (973) 762-6077
Fax: (973) 762-4331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA04662500 (NJ)

Record details

NPI number1063543254
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 8, 2007
Last updated in NPPESMarch 28, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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