Organization Active NPI

Holistic Approach Direct Primary Care Center LLC

  • Internal Medicine Physician
  • Somers Point, NJ
National Provider Identifier
1013769389
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Apr 2, 2024

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.