WHOLEHEALTHMD PA NPI 1457527053

NPI Information

  • NPI: 1457527053
  • Provider Name: WHOLEHEALTHMD PA
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 110 5TH ST
    CRESSKILL, NJ
    ZIP 07626
  • Phone: (917) 974-7172

Map and Directions

Get Directions

NPI Details

WHOLEHEALTHMD PA is a health service clinic center in Cresskill, NJ. WHOLEHEALTHMD PA NPI is 1457527053. The provider is registered as an organization entity type.

The provider's business location address is:

110 5TH ST
CRESSKILL, NJ
ZIP 07626-002
Phone: (917) 974-7172
Fax: (201) 313-8888

The provider's authorized official is Sergei Kochlatyi .
The authorized official title is President and has the following contact phone number (917) 974-7172.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 6/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth Service25MA08189600NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI