HOLISTIC STUDIO WHITE LOTUS (NPI# 1366908394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366908394 |
| Entity Type | Organization |
| Organization Name | HOLISTIC STUDIO WHITE LOTUS |
| Practice Address |
700 Palisadium Dr Cliffside Park NJ 07010-3239 |
| Mailing Address |
2-06 Cyril Ave Fair Lawn NJ 07410-2003 |
| Practice Telephone | 2015382373 |
| Mailing Telephone | 2124648407 |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | MR. IGOR RYBIN (OWNER) |
| Authorized Official Telephone | 2016371045 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Holistic Studio White Lotus | Doing Business As Name - Organization |
| Street Address |
700 PALISADIUM DR |
| City | CLIFFSIDE PARK |
| State | NJ |
| Zip Code | 07010-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073864831 | Sung Ho Park | Acupuncturist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2012-09-19 |
| 1245884568 | Jalpa Patel | Physical Therapist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2019-07-25 |
| 1932676962 | Anna Cho | Acupuncturist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2018-10-29 |
| 1417438375 | Main Kim | Physical Therapist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2018-08-28 |
| 1396240636 | Eun Young Na | Acupuncturist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2018-03-28 |
| 1730624628 | Liberty Acupuncture & Integrative Medicine | Acupuncturist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2016-12-30 |
| 1780137828 | Igor Rybin | Mechanotherapist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2016-07-25 |
| 1205389343 | Energy Zone Wellness Center LLC | Clinic/Center | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2016-07-25 |
| 1699195461 | Lifespan Physical Therapy, LLC | Physical Therapist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2014-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841715026 | Clifford Bachiman | Physical Therapist | 550 Kearney Ave, Cliffside Park, NJ 07010 | 2017-08-08 |
| 1699152181 | Rai Yeon Kang | Podiatrist | 663 Palisade Ave Ste 302, Cliffside Park, NJ 07010 | 2015-05-04 |
| 1699175372 | Hoa Chu-le | Pharmacist | 729 Anderson Ave, Cliffside Pk, NJ 07010 | 2014-08-29 |
| 1780923094 | Cliffside Park Public Schools | Local Education Agency (LEA) | School #3 Cst - 397 Palisade Avenue, Cliffside Park, NJ 07010 | 2013-02-06 |
| 1821340399 | Jonathan Mickulik | Physical Therapist | 590 Anderson Ave., Cliffside Park, NJ 07010 | 2012-10-09 |
| 1730455056 | Larissa Seymour | Psychologist | 100 Winston Dr, 7 Gs, Cliffside Park, NJ 07010 | 2012-03-30 |
| 1215174941 | Kyu-han Kim | Family Medicine | 1 Towne Centre Drive, Cliffisde Park, NJ 07010 | 2009-01-16 |
| 1982856357 | Ds Dental Arts | Dentist | 634 Anderson Avenue, Cliffside Park, NJ 07010 | 2008-10-16 |
| 1902060619 | Jennifer Gyi | Pharmacist | 663 Palisades Ave, Suite 205, Cliffside Park, NJ 07010 | 2008-07-11 |
| 1962696609 | Alexander I Karapetyan | Dentist | 550 Anderson Ave, Cliffside Park, NJ 07010 | 2007-09-05 |
| Find all providers in zip 07010 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447748181 | Mmm Health Services, Inc. | Clinic/Center | 596 Anderson Ave Ste 305, Cliffside Park, NJ 07010-1888 | 2018-04-27 |
| 1508952987 | Sleep Professionals, Inc. | Clinic/Center | 596 Anderson Ave, Suite 305, Cliffside Park, NJ 07010-1831 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073318 | West New York Healing Center Corp | Clinic/Center | 5300 Bergenline Ave Ste 304, West New York, NJ 07093-5616 | 2020-11-07 |
| 1194354407 | Recover Physical Therapy | Clinic/Center | 1501 Old Black Horse Pike Apt F9, Blackwood, NJ 08012-4927 | 2020-04-07 |
| 1154950657 | Real House Inc. | Clinic/Center | 1089-91 East Jersey Street, Elizabeth, NJ 07201 | 2020-04-06 |
| 1205464823 | Fulcrum Performance Lab, LLC | Clinic/Center | 75 S Maple Ave, Marlton, NJ 08053-2032 | 2020-03-30 |
| 1215563887 | Dr Cloyd's Clinical Psychology and Neuropsychology Practice Pllc | Clinic/Center | 1209 Route 70 W, Cherry Hill, NJ 08002-3532 | 2020-03-16 |
| 1144860271 | Sentarus Healthcare Solutions Inc | Clinic/Center | 736 S White Horse Pike, Audubon, NJ 08106-1346 | 2020-01-07 |
| 1497303044 | Sanni Ojibara Training Academy | Clinic/Center | 104 Hillside Ter, Irvington, NJ 07111-1514 | 2019-08-27 |
| 1457907404 | Vitality Wellness Group LLC | Clinic/Center | 1000 Sanger Ave Ste 211, Oceanport, NJ 07757-1241 | 2019-08-15 |
| 1760034292 | Optimally Nourished LLC | Clinic/Center | 303 Belmont Ave Ste 2, Belleville, NJ 07109-1103 | 2019-07-15 |
| 1881246676 | Acenda, Inc. | Clinic/Center | 1129 Route 9 S, Cape May Court House, NJ 08210-2752 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | CLIFFSIDE PARK |
| Zip Code | 07010 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.