Active NPI
Holistic OB/GYN, LLC
- Advanced Practice Midwife
- Clifton, NJ
National Provider Identifier
1710320239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00038301
- Legal business name
- HOLISTIC OB/GYN, LLC
- Practice address
- 1700 Route 3
Clifton, NJ 07013-3928 - Phone
- (973) 747-5217
- Fax
- (973) 396-8832
- NPI assigned
- Apr 15, 2013
- 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
- Ms. Paola A Escobar, M.S.N., C.N.M
- Title
- Owner
- Phone
- (973) 747-5217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25ME00038301 | NJ | Primary |
Addresses
Primary practice location
1700 Route 3
Clifton, NJ 07013-3928
Mailing address
PO Box 6072
Clifton, NJ 07015-6072
Phone (973) 747-5217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
764 Main St
Ste 201
Paterson, NJ 07503
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Clifton, NJ
- NPI 1730385782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399420800000",
"number": "1710320239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6072",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070156072",
"telephone_number": "973-747-5217",
"fax_number": "973-396-8832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ROUTE 3",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133928",
"telephone_number": "973-747-5217",
"fax_number": "973-396-8832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC OB/GYN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-15",
"last_updated": "2014-05-07",
"status": "A",
"authorized_official_last_name": "ESCOBAR",
"authorized_official_first_name": "PAOLA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-747-5217",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S.N., C.N.M"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00038301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.