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

Sumakmur Holiwell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376329995

Sumakmur Holiwell is a Physician Assistant in Flushing, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor.

Years since qualifying
1
In the registry since
2023
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Practice location Address checks out

4028 College Point Blvd Apt 1116
Flushing, NY 11354-5151
Phone: (917) 341-3467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376329995
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 8, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address4028 College Point Blvd Apt 1116, Flushing, NY 11354-5151

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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