High Crest Integrative Medicine, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MA062525 Issued in NJ

Legal business name

HIGH CREST INTEGRATIVE MEDICINE, LLC

Practice address

50 Fairfield Rd
Fairfield, NJ 07004-2414

Phone

(973) 808-5550

Fax

(973) 808-5999

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward Catalano, DC

Title

Partner

Phone

(972) 808-5550

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1376713073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FAIRFIELD RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042414",
            "telephone_number": "973-808-5550",
            "fax_number": "973-808-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FAIRFIELD RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042414",
            "telephone_number": "973-808-5550",
            "fax_number": "973-808-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH CREST INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "CATALANO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-808-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "MC03264",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA062525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricki M Henry, MD
• Staci Lynn Henshaw, PMHNP
• Heritage Vascular Associates LLC
• Adelina Hernandez
• High Crest Functional Medicine, LLC
• High Crest Medical, LLC
• Molly Kathleen Hilliard, PH.D.
• Hang Hoang, PHARMACIST
• Shannon Hollfelder, LPC
• Home Healers LLC

• General Practice Physician in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.