Wholehealthmd PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

25MA08189600 Issued in NJ

Legal business name

WHOLEHEALTHMD PA

Practice address

110 5TH St
Cresskill, NJ 07626-2002

Phone

(917) 974-7172

Fax

(201) 313-8888

NPI assigned

May 2, 2008

Last updated

Jun 2, 2016By 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

Dr. Sergei Kochlatyi, MDNPI 1104877836

Title

President

Phone

(917) 974-7172

Specialties & licenses 1

Addresses

Locations

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.

• Sergei Kochlatyi, M.D.

  • Internal Medicine Physician
  • Cresskill, NJ
  • NPI 1104877836
  Authorized official Same address or phone
• Anca Popa, M.D

  • Orthopaedic Surgery Physician
  • North Bergen, NJ
  • NPI 1841331808
  NPD (past)

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1457527053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 5TH ST",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262002",
            "telephone_number": "917-974-7172",
            "fax_number": "201-313-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 5TH ST",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262002",
            "telephone_number": "917-974-7172",
            "fax_number": "201-313-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEHEALTHMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "KOCHLATYI",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-974-7172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "25MA08189600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciaran Tobin, P.T.
• Tonic Physical Therapy LLC
• Train4Tomorrow Fitness LLC.
• Sreelatha Vattimilli, RPH
• Vidya Pingale LLC (The Therapy Work)
• Justine Marie Wiltsie, PT, DPT
• Ethan Wolff, PT, DPT
• Wolman Mediation Group LLC
• Dennis M Wood, ARRT (RT)
• Yael Wapinski M.D., PC

• Health Service Clinic/Center in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.