NPIMap

Organization Active NPI

Holistic Studio White Lotus

  • Clinic/Center
  • Cliffside Park, NJ
National Provider Identifier
1366908394
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOLISTIC STUDIO WHITE LOTUS
Doing business as
Holistic Studio White Lotus
Practice address
700 Palisadium Dr
Cliffside Park, NJ 07010-3239
Phone
(201) 538-2373
NPI assigned
Feb 14, 2019
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Mr. Igor Rybin, LMTNPI 1780137828
Title
Owner
Phone
(201) 637-1045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.