RESTORATIVE WELLNESS , LLC
NPI 1720523541
Nurse Practitioner - Gerontology in Oradell, NJ
About Restorative Wellness , Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESTORATIVE WELLNESS , LLC (NPI 1720523541) is a healthcare organization registered as a gerontology in Oradell, New Jersey and active in the NPI registry since January 2017. The organization maintains a secondary practice location in Westwood and lists Santa J Crisall, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Restorative Wellness , Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Restorative Wellness , LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Holistic Healthcare Services, LLC's NPI number?
The NPI number for Holistic Healthcare Services, LLC is 1720523541. It was assigned to this organization in the NPPES registry on January 3, 2017. The provider is doing business as Restorative Wellness , LLC.
Where is Holistic Healthcare Services, LLC located?
Holistic Healthcare Services, LLC is located at 550 Kinderkamack Rd Ste 124, Oradell, NJ 07649. The listed phone number is (201) 400-7292.
What is Holistic Healthcare Services, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Holistic Healthcare Services, LLC enrolled in Medicare?
Yes. Holistic Healthcare Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Holistic Healthcare Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Holistic Healthcare Services, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Holistic Healthcare Services, LLC was last updated on November 19, 2023. 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.
# Restorative Wellness , Llc · NPI 1720523541
Gerontology organization in Oradell, New Jersey. Organization record, active in the CMS NPPES registry since January 3, 2017.
## Identity
- **NPI:** 1720523541 (Entity type: Organization)
- **Enumerated:** January 3, 2017
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Legal business name:** Holistic Healthcare Services, Llc
- **Organization subpart:** No
- **Authorized official:** Santa Crisall, PRESIDENT
## Practice location
- **Address:** 550 KINDERKAMACK RD STE 124, Oradell, NJ 07649-1500
- **Phone:** (201) 400-7292 · **Fax:** (866) 889-7073
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2023
- **Other identifiers:** Other 043608 (NJ); Medicaid 8459908 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1720523541) · Data from the CMS NPPES public registry.