Active NPI
Holistic Prime Care LLC
- Primary Care Clinic/Center
- Manalapan, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HOLISTIC PRIME CARE LLC
- Practice address
- 225 Gordons Corner Rd Ste 2H
Manalapan, NJ 07726-3342 - Phone
- (732) 360-7005
- Fax
- (732) 360-7055
- NPI assigned
- Feb 18, 2022
- Last updated
- Feb 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalia Malieva, APN
- Title
- Member
- Phone
- (732) 718-8500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
225 Gordons Corner Rd Ste 2H
Manalapan, NJ 07726-3342
Mailing address
225 Gordons Corner Rd Ste 2H
Manalapan, NJ 07726-3342
Phone (732) 360-7005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
225 Gordons Corner Rd
Ste 2H
Manalapan, NJ 07726
Phone (732) 360-7005
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- East Brunswick, NJ
- NPI 1245701382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645142400000",
"number": "1598410466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 GORDONS CORNER RD STE 2H",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077263342",
"telephone_number": "732-360-7005",
"fax_number": "732-360-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 GORDONS CORNER RD STE 2H",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077263342",
"telephone_number": "732-360-7005",
"fax_number": "732-360-7055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC PRIME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A",
"authorized_official_last_name": "MALIEVA",
"authorized_official_first_name": "NATALIA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "732-718-8500",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.