HOLISTIC HEALTHCARE SERVICES LLC NPI 1720523541

NPI Information

NPI: 1720523541
Provider Name: HOLISTIC HEALTHCARE SERVICES, LLC
Classification: Nurse Practitioner - 363LG0600X
Specialization: Gerontology
Entity Type: Organization
Doing Business As: RESTORATIVE WELLNESS , LLC
CLIA Number: 31D2187624
Address: 550 KINDERKAMACK RD STE 124
ORADELL, NJ
ZIP 07649
Phone: (201) 400-7292

Map and Directions

Get Directions

NPI Details

HOLISTIC HEALTHCARE SERVICES, LLC is a gerontology nurse practitioner in Oradell, NJ. HOLISTIC HEALTHCARE SERVICES, LLC NPI is 1720523541. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Restorative Wellness , Llc.

The provider's business location address is:

550 KINDERKAMACK RD STE 124
ORADELL, NJ
ZIP 07649-500
Phone: (201) 400-7292
Fax: (866) 889-7073

The provider's authorized official is Santa J Crisall .
The authorized official title is President and has the following contact phone number (201) 400-7292.

The CLIA number assigned to this NPI record is 31D2187624 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2017 and was last updated on 11/19/2023.

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
1	363LP2300X	Nurse Practitioner	Primary Care	NNO71590	NEW HAMPSHIRE	No
2	363LG0600X	Nurse Practitioner	Gerontology	NNO71590	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	043608	OTHER	NEW JERSEY	MEDICARE
2	8459908	MEDICAID	NEW JERSEY

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