Organization Active NPI

Center for Holistic & Integrative Medicine

  • Internal Medicine Physician
  • Englewood, NJ
National Provider Identifier
1356570774
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08471600 Issued in NJ
Legal business name
CENTER FOR HOLISTIC & INTEGRATIVE MEDICINE
Practice address
60 Grand Ave
Englewood, NJ 07631-6583
Phone
(201) 294-8405
NPI assigned
Jul 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Dr. Annalisa Pastore, MD
Title
Director, Internist
Phone
(201) 294-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA08471600 NJ Primary

Addresses

Primary practice location

60 Grand Ave
Englewood, NJ 07631-6583

Mailing address

60 Grand Ave
Englewood, NJ 07631-6583
Phone (201) 294-8405

Other identifiers 1

IdentifierTypeStateIssuer
1003975616OtherINDIVIDUAL NPIN

Other names 1

  • CHI Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1356570774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316583",
            "telephone_number": "201-294-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316583",
            "telephone_number": "201-294-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HOLISTIC & INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "PASTORE",
        "authorized_official_first_name": "ANNALISA",
        "authorized_official_title_or_position": "DIRECTOR, INTERNIST",
        "authorized_official_telephone_number": "201-294-8405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08471600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPIN",
            "identifier": "1003975616",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.