Holistic Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOLISTIC FAMILY MEDICINE LLC

Practice address

141 E 55TH St
# 10F
New York, NY 10022-4030

Phone

(203) 826-3582

Fax

(855) 798-2816

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Domenick John Masiello, DONPI 1184747305

Title

Owner

Phone

(212) 688-4818

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Holistic Family Medicine LLC

  • Family Medicine Physician
  • Ridgefield, CT
  • NPI 1114269032

  9436394681

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Holistic Family Medicine LLC

  • Family Medicine Physician
  • Ridgefield, CT
  • NPI 1114269032

  O20130319000003

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Domenick John Masiello, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Ridgefield, CT
  • NPI 1184747305

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1376895797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 OLD SIB RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772335",
            "telephone_number": "203-826-3582",
            "fax_number": "855-798-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E 55TH ST",
            "address_2": "# 10F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224030",
            "telephone_number": "203-826-3582",
            "fax_number": "855-798-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "MASIELLO",
        "authorized_official_first_name": "DOMENICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-688-4818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Holihan
• Norita Holipas, CRNA
• Dishaw Devi Holiprosad, MD
• Barbara Holisher, MSW
• Holistic Chiropractor, Author Pioneer Holiscian, Holistic Doctor (HD)
• Holistic Group
• Holistic Healing System LLC
• Holistic Integrated Solutions LLC
• Holistic Social Work Services
• Holisticgo Inc

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.