VANTAGE HEALTH SYSTEM (NPI# 1417081670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417081670 |
| 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 | DAVID GRIFFITH (CEO) |
| Authorized Official Telephone | 2013854400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0084808 | 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 |
| 1073637179 | Vantage Health System | Community/Behavioral Health | 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 |
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| 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 | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174162770 | Friends of Cyrus Inc | Psychiatric Residential Treatment Facility | 205 Hardenburg Ln, East Brunswick, NJ 08816-2417 | 2019-12-30 |
| 1730644725 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 4 Dogwood Ct, Hackettstown, NJ 07840-4800 | 2019-02-05 |
| 1568927556 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 143 Meadows Rd, Lafayette, NJ 07848-3120 | 2019-02-05 |
| 1548725534 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 23 Waterloo Rd, Stanhope, NJ 07874-3449 | 2019-02-05 |
| 1891250882 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 4 Tall Oaks Rd, Somerset, NJ 08873-3033 | 2019-02-05 |
| 1154886141 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 15 Rockleigh Dr, Ewing, NJ 08628-1516 | 2019-02-05 |
| 1366907354 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 23 Pritchard Ln, Sicklerville, NJ 08081-2013 | 2019-02-05 |
| 1114482007 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 270 Smithburg Rd, Manalapan, NJ 07726-8122 | 2019-02-05 |
| 1376008367 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 521 Townsbury Rd, Great Meadows, NJ 07838-2043 | 2019-02-05 |
| 1225593213 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 266 Jackson Mills Rd, Freehold, NJ 07728-8057 | 2019-02-05 |
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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.