Active NPI
Holistic Studio White Lotus
- Clinic/Center
- Cliffside Park, NJ
National Provider Identifier
1366908394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- HOLISTIC STUDIO WHITE LOTUS
- Practice address
- 700 Palisadium Dr
Cliffside Park, NJ 07010-3239 - Phone
- (201) 538-2373
- NPI assigned
- Feb 14, 2019
- 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
- Mr. Igor Rybin, LMT
- Title
- Owner
- Phone
- (201) 637-1045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
700 Palisadium Dr
Cliffside Park, NJ 07010-3239
Mailing address
2-06 Cyril Ave
Fair Lawn, NJ 07410-2003
Phone (212) 464-8407
Other names 1
- Holistic Studio White Lotus
National Provider Directory
National Provider DirectoryLocations
700 Palisadium Dr
Cliffside Pk, NJ 07010
Phone (201) 366-4837
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Englewood Cliffs, NJ
- NPI 1083380877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550102400000",
"number": "1366908394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2-06 CYRIL AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074102003",
"telephone_number": "212-464-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PALISADIUM DR",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103239",
"telephone_number": "201-538-2373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC STUDIO WHITE LOTUS",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-14",
"last_updated": "2019-02-14",
"status": "A",
"authorized_official_last_name": "RYBIN",
"authorized_official_first_name": "IGOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-637-1045",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Holistic Studio White Lotus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.