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HOLY NAME MEDICAL ASSOCIATES, PC
NPI 1427407600
Internal Medicine in Teaneck, NJ

Active since June 08, 2016
718 TEANECK RD, TEANECK, NJ 07666(201) 833-3000(201) 227-6207 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holy Name Medical Associates, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLY NAME MEDICAL ASSOCIATES, PC (NPI 1427407600) is a healthcare organization registered as an internal medicine in Teaneck, New Jersey and active in the NPI registry since June 2016. The organization lists Patricia Beniquez Pacheco, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1427407600
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHOLY NAME MEDICAL ASSOCIATES, PC
Location Address718 TEANECK RDTeaneck, NJ 07666-4245
Mailing Address3 University Plz Ste 205Hackensack, NJ 07601-6208 · (201) 833-3599 · Fax (201) 227-6207
Phone(201) 833-3000
Fax(201) 227-6207
Organization SubpartNo
Authorized OfficialPatricia Beniquez PachecoCredentialing Supervisor · (201) 833-3599
Enumeration DateJune 8, 2016
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1427407600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
718 TEANECK RD, Teaneck, NJ 07666
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holy Name Medical Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Holy Name Medical Associates, PC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

George Ajjan, M.D.
Obstetrics/Gynecology
NPI 1992709521
870 PALISADE AVE
Teaneck, NJ 07666
(201) 907-0900
✔ PECOS✔ Accepts Medicare0.6 mi
John Frattarola, MD
Obstetrics/Gynecology
NPI 1609836592
870 PALISADE AVE
Teaneck, NJ 07666
(201) 907-0900
✔ PECOS✔ Accepts Medicare0.6 mi
Nicole Palomar, MD
Obstetrics/Gynecology
NPI 1417204645
870 PALISADE AVE SUITE 301
Teaneck, NJ 07666
(201) 907-0900
✔ PECOS✔ Accepts Medicare0.6 mi
Payal Shah
Obstetrics/Gynecology
NPI 1962406504
870 PALISADE AVE
Teaneck, NJ 07666
(201) 907-0900
✔ PECOS✔ Accepts Medicare0.6 mi
Johanna Lee, D.O.
Obstetrics/Gynecology
NPI 1588076756
870 PALISADE AVE STE 301
Teaneck, NJ 07666
(201) 907-0900
✔ PECOS✔ Accepts Medicare0.6 mi
Amalia Gonzalez-Tineo, DO
Obstetrics/Gynecology
NPI 1073191730
870 PALISADE AVE
Teaneck, NJ 07666
(201) 907-0900
✔ PECOS✔ Accepts Medicare0.6 mi
Sneha Sudanagunta, DO
Obstetrics/Gynecology
NPI 1760065965
870 PALISADE AVE STE 301
Teaneck, NJ 07666
(201) 907-0900
✔ PECOS✔ Accepts Medicare0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holy Name Medical Associates, PC's NPI number?

The NPI number for Holy Name Medical Associates, PC is 1427407600. It was assigned to this organization in the NPPES registry on June 8, 2016.

Where is Holy Name Medical Associates, PC located?

Holy Name Medical Associates, PC is located at 718 Teaneck Rd, Teaneck, NJ 07666. The listed phone number is (201) 833-3000.

What is Holy Name Medical Associates, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Holy Name Medical Associates, PC enrolled in Medicare?

Yes. Holy Name Medical Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holy Name Medical Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Holy Name Medical Associates, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Holy Name Medical Associates, PC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.