Active NPI
Holistic Approach Direct Primary Care Center LLC
- Internal Medicine Physician
- Somers Point, NJ
National Provider Identifier
1013769389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HOLISTIC APPROACH DIRECT PRIMARY CARE CENTER LLC
- Practice address
- 501 Bay Ave Ste 105
Somers Point, NJ 08244-2554 - Phone
- (609) 299-1230
- NPI assigned
- Apr 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya Roberts, DO
- Title
- Owner
- Phone
- (609) 299-1230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
501 Bay Ave Ste 105
Somers Point, NJ 08244-2554
Mailing address
501 Bay Ave Ste 105
Somers Point, NJ 08244-2554
Phone (609) 299-1230
National Provider Directory
National Provider DirectoryLocations
501 Bay Ave
Ste 105
Somers Point, NJ 08244
Phone (609) 299-1230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1013769389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 BAY AVE STE 105",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442554",
"telephone_number": "609-299-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BAY AVE STE 105",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442554",
"telephone_number": "609-299-1230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC APPROACH DIRECT PRIMARY CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-02",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-299-1230",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.