Organization Active NPI

Holistic Hij LLC

  • Primary Care Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1063084788
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HOLISTIC HIJ LLC
Doing business as
Holistic Hij LLC
Practice address
45 Sirius CT
Sewell, NJ 08080-2028
Phone
(267) 800-8710
Fax
(888) 727-0593
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Chetia HeggsNPI 1497327118
Title
Owner
Phone
(267) 800-8710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

45 Sirius CT
Sewell, NJ 08080-2028

Mailing address

45 Sirius CT
Sewell, NJ 08080-2028
Phone (267) 800-8710

Other names 1

  • HOLISTIC HIJ LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1063084788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SIRIUS CT",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802028",
            "telephone_number": "267-800-8710",
            "fax_number": "888-727-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SIRIUS CT",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802028",
            "telephone_number": "267-800-8710",
            "fax_number": "888-727-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HIJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "HEGGS",
        "authorized_official_first_name": "CHETIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-800-8710"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLISTIC HIJ LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.