VITALITY WELLNESS GROUP LLC


Address: 1000 Sanger Ave Ste 211, Oceanport, NJ 07757-1241
Phone: 6464623812

VITALITY WELLNESS GROUP LLC (NPI# 1457907404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457907404
Entity Type Organization
Organization Name VITALITY WELLNESS GROUP LLC
Practice Address 1000 Sanger Ave Ste 211
Oceanport
NJ 07757-1241
Mailing Address 68 White St # 7272
Red Bank
NJ 07701-1656
Practice Telephone 6464623812
Enumeration Date 2019-08-15
Last Update Date 2019-08-15
Authorized Official Name MR. SCOTT CAROTNEUTO (PARTNER)
Authorized Official Telephone 6464623812
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
Y 261QC1800X Clinic/Center
Specialization: Corporate Health
Ambulatory Health Care Facilities

Office Location

Street Address 1000 SANGER AVE STE 211
City OCEANPORT
State NJ
Zip Code 07757-1241

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Taxonomy Information

Taxonomy Code 261QC1800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Corporate Health

Taxonomy Definition

Definition to come...

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Competitor

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City OCEANPORT
Zip Code 07757

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Dataset Information

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.

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