Phyllis Ann Holmes, RD

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

886131 Issued in NJ

Practice address

55 Meadowlands Pkwy
Secaucus, NJ 07094-2977

Phone

(888) 369-5550

Fax

(888) 369-5550

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  • NPI 1427512722

  NJ

  Medicare reassignment NPD
• Radius Telemed, LLC

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  • NPI 1821618968
  NPD
• Mulkay Cardiology Consultants, PC

  • Cardiovascular Disease Physician
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  • NPI 1568535532
  NPD (past)
• Ask Health, PA

  • Neurology Physician
  • Tampa, FL
  • NPI 1396457321
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1053448134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 OVERLOOK AVE APT 3K",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012234",
            "telephone_number": "888-369-5550",
            "fax_number": "888-369-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "888-369-5550",
            "fax_number": "888-369-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NJ",
            "license": "886131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Geraldine Hernandez, APN
• Adam Hezzini
• May Hezzini, PHARM D
• HMP Orthopaedics NJ LLC
• Gregory Lamont Holmes, LCADC
• Amanda Gee Holtzer, RDN
• George Holtzer
• Shara Holzberg, MS,CCC-SLP
• Irene Hong, LAC. LMT.
• Rosina Huddleston

• All providers in Secaucus, NJ
• Nutrition Education Nutritionist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.