Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holy Name Primary Care and Specialty Associates, PC

Organization Internal Medicine Physician · NPI 1104256130

Holy Name Primary Care and Specialty Associates, PC is an Internal Medicine Physician in Teaneck, New Jersey. Works from 2 locations. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone: (201) 833-3000
Fax: (201) 227-6207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 354 Old Hook Rd, Westwood, NJ 07675-3246 — (201) 358-0400

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1104256130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Beniquez Pacheco — Credentialing Supervisor · (201) 833-3000
NPI enumeratedNovember 12, 2013
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address3 University Plz Ste 205, Hackensack, NJ 07601-6208

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