Holy Name Primary Care and Specialty Associates, PC
NPI 1104256130 · Psychiatry Physician · Teaneck, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holy Name Primary Care and Specialty Associates, PC is a Psychiatry Physician organization in Teaneck, NJ (NPI 1104256130).
Provider details
- NPI number
- 1104256130
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Beniquez Pacheco, Credentialing Supervisor(201) 833-3000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 354 Old Hook RdWestwood, NJ 07675-3246Phone: (201) 358-0400
Registry dates
- Enumerated
- 2013-11-12
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Frequently asked questions
- What is Holy Name Primary Care and Specialty Associates, PC's NPI number?
- Holy Name Primary Care and Specialty Associates, PC's National Provider Identifier (NPI) is 1104256130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holy Name Primary Care and Specialty Associates, PC?
- Holy Name Primary Care and Specialty Associates, PC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Holy Name Primary Care and Specialty Associates, PC located?
- Holy Name Primary Care and Specialty Associates, PC's practice location on file with NPPES is 718 Teaneck Rd, Teaneck, NJ 07666-4245.
- What is Holy Name Primary Care and Specialty Associates, PC's phone number?
- The practice phone number listed in the NPPES registry for Holy Name Primary Care and Specialty Associates, PC is (201) 833-3000.
- Does Holy Name Primary Care and Specialty Associates, PC accept Medicare?
- Holy Name Primary Care and Specialty Associates, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Holy Name Primary Care and Specialty Associates, PC?
- The authorized official listed on Holy Name Primary Care and Specialty Associates, PC's NPPES record is Patricia Beniquez Pacheco, Credentialing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holy Name Primary Care and Specialty Associates, PC's NPI active?
- Yes — Holy Name Primary Care and Specialty Associates, PC's NPI (1104256130) is active in the NPPES registry as of the last update on 2025-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.