Organization Active NPI

Holistic Healing System LLC

  • General Practice Physician
  • New York, NY
National Provider Identifier
1659602787
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
203118 Issued in NY
Legal business name
HOLISTIC HEALING SYSTEM LLC
Practice address
206 E 117TH St
1St Floor
New York, NY 10035-4862
Phone
(212) 996-5899
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Mr. Robert R Deleon, MS
Title
Administrator
Phone
(212) 996-5899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 20628 NY
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 203118 NY Primary

Addresses

Primary practice location

206 E 117TH St
1St Floor
New York, NY 10035-4862

Mailing address

127 E 105TH St
New York, NY 10029-4917
Phone (212) 289-1004

Other names 1

  • REALITY HOUSING FUND Other name

National Provider Directory

National Provider Directory

Locations

206 E 117th St
Frnt 1
New York, NY 10035
Phone (212) 996-5899

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1659602787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E 105TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294917",
            "telephone_number": "212-289-1004",
            "fax_number": "212-987-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E 117TH ST",
            "address_2": "1ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354862",
            "telephone_number": "212-996-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALING SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-996-5899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "20628",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "203118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REALITY HOUSING FUND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.