Organization Active NPI

Holistic Prime Care LLC

  • Primary Care Clinic/Center
  • Manalapan, NJ
National Provider Identifier
1598410466
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Natalia Malieva, APNNPI 1245701382
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20221213003203 NJ Part B Supplier - Clinic/Group Practice 1658740618 Receives reassigned benefits from 1 practitioner
Practice locations: Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.