# HOLY NAME HEALTH PHYSICIANS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194395269
- **Authorized official:** PATRICIA BENIQUEZ PACHECO (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (201) 833-3599

## Contact information

- **Practice address:** 718 TEANECK RD, TEANECK, NJ 07666-4245
- **Practice address phone:** (201) 833-3000
- **Practice address fax:** (201) 227-6207
- **Mailing address:** 3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
- **Mailing address phone:** (201) 833-3599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 05/08/2024