Primary Holistic Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIMARY HOLISTIC CARE LLC

Practice address

531 Tinton Ave
Tinton Falls, NJ 07724-3211

Phone

(848) 404-6717

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Ashley Flannelly, FNP-C

Title

Nurse Practitioner

Phone

(848) 404-6717

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

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

• Ashley Acevedo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lyndhurst, NJ
  • NPI 1548975840
  NPD

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1508554742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 TINTON AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243211",
            "telephone_number": "848-404-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 TINTON AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243211",
            "telephone_number": "848-404-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HOLISTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "FLANNELLY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "848-404-6717",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY",
            "identifier": "1548975840.",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan James Plyler, MD
• Benedict T PO
• William James Polvino, M.D.
• Prad Health Enterprises LLC
• Premier Care LLC Dba Elder Life Home Care LLC
• Professional Orthopaedic Assoc PA
• Professional Orthopedics Assoc
• Public Medical Equipment
• Ashley Elizabeth Pulcini, DO
• Amber Lynn Quinn

• Primary Care Clinic/Center in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.