Organization Active NPI

Holistic Body Wellness, PC

  • Clinic/Center
  • Paramus, NJ
National Provider Identifier
1851029276
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOLISTIC BODY WELLNESS, PC
Practice address
Mobile Clinic
Paramus, NJ 07652-2109
Phone
(201) 725-9201
NPI assigned
Aug 12, 2022
Last updated
Aug 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Dr. Ulyses Favian Estrada, DCNPI 1952057283
Title
Owner/ Primary Provider
Phone
(201) 873-2955

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

Mobile Clinic
Paramus, NJ 07652-2109

Mailing address

57 Demarest Rd
Paramus, NJ 07652-2109
Phone (201) 725-9201

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address estradadc@myholisticbody.com

National Provider Directory

National Provider Directory

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": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1851029276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 DEMAREST RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522109",
            "telephone_number": "201-725-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOBILE CLINIC",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522109",
            "telephone_number": "201-725-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC BODY WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "ULYSES",
        "authorized_official_middle_name": "FAVIAN",
        "authorized_official_title_or_position": "OWNER/ PRIMARY PROVIDER",
        "authorized_official_telephone_number": "201-873-2955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "estradadc@myholisticbody.com",
            "affiliation": "N",
            "endpointDescription": "Direct email address.",
            "address_1": "Mobile Clinic",
            "city": "Paramus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076522109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.