Holy Name Medical Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HOLY NAME MEDICAL ASSOCIATES, PC

Practice address

718 Teaneck Rd
Teaneck, NJ 07666-4245

Phone

(201) 833-3000

Fax

(201) 227-6207

NPI assigned

Jun 8, 2016

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Beniquez Pacheco

Title

Credentialing Supervisor

Phone

(201) 833-3599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 11

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.

• George Ajjan, M.D.

  • Specialist
  • Teaneck, NJ
  • NPI 1992709521
  Medicare reassignment Care Compare group NPD
• John Frattarola, MD

  • Specialist
  • Teaneck, NJ
  • NPI 1609836592
  Medicare reassignment Care Compare group NPD
• Amalia Maria Gonzalez-Tineo, DO

  • Obstetrics & Gynecology Physician
  • Teaneck, NJ
  • NPI 1073191730
  Medicare reassignment Care Compare group NPD
• Nicole Liza Palomar, MD

  • Specialist
  • Teaneck, NJ
  • NPI 1417204645
  Medicare reassignment Care Compare group NPD
• Payal Shah

  • Specialist
  • Teaneck, NJ
  • NPI 1962406504
  Medicare reassignment Care Compare group NPD
• Sneha Prasad Sudanagunta, DO

  • Obstetrics & Gynecology Physician
  • Teaneck, NJ
  • NPI 1760065965
  Medicare reassignment Care Compare group NPD
• Johanna Lee, D.O.

  • Specialist
  • Teaneck, NJ
  • NPI 1588076756
  Medicare reassignment NPD
• Gokce Incekara, APN, WHNP-BC

  • Nurse Practitioner
  • Teaneck, NJ
  • NPI 1912471574
  NPD
• Neelam Sharma, M.D

  • Obstetrics & Gynecology Physician
  • Kinnelon, NJ
  • NPI 1578711214
  NPD
• Adinah Wieder

  • Obstetrics & Gynecology Physician
  • Bronx, NY
  • NPI 1497121230
  NPD
• Stefanie Mathews, RNC, APN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Paterson, NJ
  • NPI 1821320946
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1427407600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208",
            "telephone_number": "201-833-3599",
            "fax_number": "201-227-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000",
            "fax_number": "201-227-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY NAME MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "BENIQUEZ PACHECO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "201-833-3599"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holy Name Health Physicians
• Holy Name Home Dialysis Center, Inc. (Holy Name Dialysis Center)
• Holy Name Hospital Ekg Interpretation Group
• Holy Name Hospital Regional Dialysis Center
• Holy Name Imaging LLC
• Holy Name Medical Center
• Holy Name Medical Center Inc (Holy Name Pharmacare Dept.)
• Holy Name Medical Center Inc (Holy Name Hospital Hospice)
• Holy Name Medical Center Inc (Holy Name Hospital Homecare)
• Holy Name Medical Center Inc.

• Internal Medicine Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.