VANTAGE HEALTH SYSTEM (NPI# 1073637179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073637179 |
| Entity Type | Organization |
| Organization Name | VANTAGE HEALTH SYSTEM |
| Practice Address |
2 Park Ave Dumont NJ 07628-3004 |
| Practice Telephone | 2013854400 |
| Practice Fax Number | 2013847067 |
| Mailing Telephone | 2013854400 |
| Mailing Fax Number | 2013847067 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | MR. DAVID GRIFFITH (CEO) |
| Authorized Official Telephone | 2013854400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0084824 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114045523 | Vantage Health System | Substance Abuse Rehabilitation Facility | 35d Piermont Road, Rockleigh, NJ 07647 | 2007-03-26 |
| 1326588773 | Vantage Health System | Community Based Residential Treatment Facility, Mental Illness | 315 Locust St, Teaneck, NJ 07666-4003 | 2017-03-05 |
| 1538511639 | Vantage Health System | Community/Behavioral Health | 2 Park Ave, Dumont, NJ 07628-3004 | 2016-07-13 |
| 1417081670 | Vantage Health System | Psychiatric Residential Treatment Facility | 2 Park Ave, Dumont, NJ 07628-3004 | 2007-03-16 |
| Street Address |
2 PARK AVE |
| City | DUMONT |
| State | NJ |
| Zip Code | 07628-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041863 | Reginald Muhammad | Counselor | 2 Park Ave, Dumont, NJ 07628-3004 | 2019-12-26 |
| 1427697259 | Carlos A. Lopes | Social Worker | 2 Park Ave, Dumont, NJ 07628-3004 | 2019-12-26 |
| 1083253983 | Desmond Peters | Counselor | 2 Park Ave, Dumont, NJ 07628-3004 | 2019-12-26 |
| 1760020986 | King H Sheridan | Counselor | 2 Park Ave, Dumont, NJ 07628-3004 | 2019-12-18 |
| 1578111480 | Vantage Health System, Inc | Clinic/Center | 2 Park Ave, Dumont, NJ 07628-3004 | 2019-09-04 |
| 1265999262 | Kendee Naomi Sal | Counselor | 2 Park Ave, Dumont, NJ 07628-3004 | 2019-02-26 |
| 1386155364 | Vantage Health System, Inc | Clinic/Center | 2 Park Ave, Dumont, NJ 07628-3004 | 2017-10-18 |
| 1538511639 | Vantage Health System | Community/Behavioral Health | 2 Park Ave, Dumont, NJ 07628-3004 | 2016-07-13 |
| 1982056834 | Virginia Clark | Registered Nurse | 2 Park Ave, Dumont, NJ 07628-3004 | 2016-07-04 |
| 1245680545 | Eileen Moliere | Registered Nurse | 2 Park Ave, Dumont, NJ 07628-3004 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568000925 | Virginia Montoya | Counselor | 2 Park Avenue, Dumont, Nj 07628, Dumont, NJ 07628 | 2019-12-17 |
| 1548767817 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 50 W Madison Ave, Dumont, NJ 07628 | 2018-04-12 |
| 1053706036 | Ashumi Dave | Dentist | 79 E Madison Ave, Dumont, NJ 07628 | 2015-04-06 |
| 1215293907 | Gemini Home Care Services, LLC | In Home Supportive Care | 22 Quackenbush Ave., Dumont, NJ 07628 | 2012-04-06 |
| 1982988846 | Wendy Lin | Pharmacist | 406-407 East Madison Ave, Dumont, NJ 07628 | 2011-10-10 |
| 1477712446 | Ma Lourdes Marichu Bebita Zita | Physical Therapist | 158 Washington Avenue, Dumont, NJ 07628 | 2008-06-05 |
| 1871761288 | Mckenna House | Day Training, Developmentally Disabled Services | 72 Lawrence Ave, Dumont, NJ 07628 | 2008-02-19 |
| 1720203805 | John Richard Lagana | Dentist | 8 New Milford Ave, Dumont, NJ 07628 | 2007-04-16 |
| 1235292699 | David Barry Schwartz | Chiropractor | 89 Grant Avenue, Dumont, NJ 07628 | 2006-12-18 |
| 1417043894 | Terri L Smith | Pediatrics | 307 East Madison Ave, Dumont, NJ 07628 | 2006-10-05 |
| Find all providers in zip 07628 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538511639 | Vantage Health System | Community/Behavioral Health | 2 Park Ave, Dumont, NJ 07628-3004 | 2016-07-13 |
| 1841651338 | Glascow Health Services LLC | Community/Behavioral Health | 22 E Quackenbush Ave, Dumont, NJ 07628-3055 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487162 | Tender Care | Community/Behavioral Health | 2 Independence Way, Apt. 102, Florham Park, NJ 07932 | 2020-11-03 |
| 1699374009 | Apluscare, LLC | Community/Behavioral Health | 98 Stratton St S, Piscataway, NJ 08854-3641 | 2020-10-19 |
| 1326647736 | Apluscare, LLC | Community/Behavioral Health | 1419 W Camplain Rd, Manville, NJ 08835-1647 | 2020-10-19 |
| 1821603986 | New Life New Hope | Community/Behavioral Health | 31 S Browning Ave # A, Somerdale, NJ 08083-1109 | 2020-09-14 |
| 1154933208 | Tajlearning Resource Corp | Community/Behavioral Health | 172 Minetta Rd, Somerset, NJ 08873-3709 | 2020-08-20 |
| 1528670619 | North Jersey Friendship House Inc | Community/Behavioral Health | 45 Urban Club Rd, Wayne, NJ 07470-2000 | 2020-08-19 |
| 1447862875 | Ymca of Greater Monmouth County | Community/Behavioral Health | 485 Adelphia Rd, Freehold, NJ 07728-8815 | 2020-08-18 |
| 1639781065 | Ymca of Greater Monmouth County | Community/Behavioral Health | 613 Hope Rd Bldg 42, Eatontown, NJ 07724-1278 | 2020-08-18 |
| 1487266839 | Shore Integrated Counseling LLC | Community/Behavioral Health | 1010 State Route 71 Ste 2a, Spring Lake, NJ 07762-3223 | 2020-08-18 |
| 1295347870 | Next Wind LLC | Community/Behavioral Health | 75 Grand Ave Ste 101, Englewood, NJ 07631-3522 | 2020-08-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.