Holistic Healthcare Services, LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

NNO71590 Issued in NJ

Legal business name

HOLISTIC HEALTHCARE SERVICES, LLC

Practice address

550 Kinderkamack Rd Ste 124
Oradell, NJ 07649-1500

Phone

(201) 400-7292

Fax

(866) 889-7073

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Santa J Crisall, RN,APN, PSYDNPI 1952356149

Title

President

Phone

(201) 400-7292

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Restorative Wellness , LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Santa Crisall, RN

  • Gerontology Nurse Practitioner
  • Newark, NJ
  • NPI 1952356149
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700352000000",
    "number": "1720523541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 PARAMUS RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521735",
            "telephone_number": "201-400-7292",
            "fax_number": "888-599-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 KINDERKAMACK RD STE 124",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491500",
            "telephone_number": "201-400-7292",
            "fax_number": "866-889-7073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Westwood Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076751708",
            "country_code": "US",
            "telephone_number": "201-666-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIC HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "CRISALL",
        "authorized_official_first_name": "SANTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-400-7292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,APN, PSYD"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "NNO71590",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NH",
            "license": "NNO71590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "043608",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8459908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Wellness , LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restorative Wellness , LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hartman Center for Functional Neurology
• Jonathan Robert Hartman, DC
• Paul C Hashagen, PA-C
• Lauren Hirsch, LCSW
• Holistic Health and Healing LLC
• Sung Jae Hong, LAC
• Hudson Transportation
• Shannon C Hughes
• Huntington Learning Center
• Nicholas Ignazzi Sr.

• Gerontology Nurse Practitioner in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; 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.