NPIMap

Organization Active NPI

Consonant Healing Medical Associates of NJ LLC

  • Surgery Physician
  • Ridgefield Park, NJ
National Provider Identifier
1508477399
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CONSONANT HEALING MEDICAL ASSOCIATES OF NJ LLC
Practice address
100 Challenger Rd # 205
Ridgefield Park, NJ 07660-2108
Phone
(443) 383-9300
NPI assigned
Aug 13, 2020
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Matthew Welik
Title
Ceo
Phone
(301) 928-5012

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU
Internal Medicine Physician 207R00000X NU
Surgery Physician 208600000X NU Primary
Podiatrist 213E00000X NU
Physical Therapist 225100000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

100 Challenger Rd # 205
Ridgefield Park, NJ 07660-2108

Mailing address

909 Ridgebrook Rd Ste 220
Sparks, MD 21152-9476
Phone (301) 928-5012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210630001946 NJ Part B Supplier - Clinic/Group Practice 4880095637 Receives reassigned benefits from 53 practitioners

National Provider Directory

National Provider Directory

Locations

189 Applegarth Rd
Monroe Twp, NJ 08831
Phone (609) 426-9618

77 E 43rd St
Paterson, NJ 07514
Phone (973) 754-6700

100 Challenger Rd
Ste 205
Ridgefield Park, NJ 07660

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

1640 S Lincoln Ave
Vineland, NJ 08361
Phone (267) 994-0805

301 Mill Rd
Ste U5
Hewlett, NY 11557

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1508477399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 220",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529476",
            "telephone_number": "301-928-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHALLENGER RD # 205",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602108",
            "telephone_number": "443-383-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSONANT HEALING MEDICAL ASSOCIATES OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "WELIK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-928-5012"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.