Holistic Family Medicine LLC
NPI 1114269032ActiveOrganization· Family Medicine· Ridgefield, CT
Family Medicine in Ridgefield, Connecticut, registered in NPPES in March 2013. The authorized official on file is Domenick John Masiello, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114269032 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2013 |
| Last updated in NPPES | Mar 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 000278 | CT |
| Neuromusculoskeletal Medicine & OMM | 204D00000X | 000278 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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