Golden Holistic Treatment Center

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

GOLDEN HOLISTIC TREATMENT CENTER

Practice address

6809 Bergenline Ave
West New York, NJ 07093-1807

Phone

(201) 766-0015

Fax

(201) 766-0019

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Soo Eo

Title

Owner

Phone

(201) 450-2195

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1407342728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931807",
            "telephone_number": "201-766-0015",
            "fax_number": "201-766-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931807",
            "telephone_number": "201-766-0015",
            "fax_number": "201-766-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HOLISTIC TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "EO",
        "authorized_official_first_name": "SOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-450-2195"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaius Ghattas
• Raffaele A Gibilisco, MD, PA
• Jaime N Gildengers, MD FACS
• Neil Godhani, PHARM.D
• Sara Goldberg, LCSW
• Ana Gonzalez, NURSE PRACTITIONER
• Daniella Maria Gonzalez, PHARMD
• Luis Alberto Gonzalez, M.D., F.A.C.C.
• Miguel A Gonzalez, DDS
• Paula A Gonzalez

• Pain Clinic/Center in West New York, NJ
• Providers in West New York, NJ by specialty
• Pain Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.