VITALITY NP GROUP (NPI# 1639646375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639646375 |
| Entity Type | Organization |
| Organization Name | VITALITY NP GROUP |
| Practice Address |
2309 Stafford Ave Scranton PA 18505-3686 |
| Mailing Address |
685 River Ave Unit 3 Lakewood NJ 08701-5288 |
| Practice Telephone | 7324867373 |
| Mailing Telephone | 7324867373 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | FRAN ROSENFELD (OWNER) |
| Authorized Official Telephone | 6094587407 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2309 STAFFORD AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18505-3686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061785 | Mountain View Nursing Home, Inc. | Skilled Nursing Facility | 2309 Stafford Ave, Scranton, PA 18505-3686 | 2005-05-23 |
| 1659913366 | Erica Luzetski | Occupational Therapist | 2309 Stafford Ave, Scranton, PA 18505-3686 | 2019-10-14 |
| 1114426137 | Mountain View Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 2309 Stafford Ave, Scranton, PA 18505-3686 | 2018-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952927998 | Gary Chee Seng Oh | Student in an Organized Health Care Education/Training Program | 501 S. Washintgon Avenue, Scranton, PA 18505 | 2020-06-24 |
| 1851915813 | Usman Amjia Manzoor | Student in an Organized Health Care Education/Training Program | 501 South Washintgon Avenue, Scranton, PA 18505 | 2020-06-04 |
| 1396368791 | Navharsh Kaur Sekhon | Student in an Organized Health Care Education/Training Program | 501 S, Washington Avenue, Scranton, PA 18505 | 2020-05-20 |
| 1275154395 | Yamini Indravadan Patel | Student in an Organized Health Care Education/Training Program | 501 South Washington Avenue The Wright Center for Gradu, 501 South Washington Avenue, Scranton, PA 18505 | 2020-04-29 |
| 1225659584 | Raza Naseer | Student in an Organized Health Care Education/Training Program | 501 S. Washington Avenue, Scranton, PA 18505 | 2020-04-28 |
| 1932720307 | Mohammad Asim Amjad | Student in an Organized Health Care Education/Training Program | 501 South Washington Avenue, Scranton, PA 18505 | 2020-04-27 |
| 1033739404 | Amina Khan | Student in an Organized Health Care Education/Training Program | 501 S Washington Avenue, Scranton, PA 18505 | 2020-04-25 |
| 1245862259 | Princy Kanakkumar Shah | Internal Medicine | Wright Medical Center, 501 S Washington Avenue, Scranton, PA 18505 | 2020-02-07 |
| 1902363005 | Keystone Community Resources, Inc. | Day Training/Habilitation Specialist | 628 Genet Street, Scranton, PA 18505 | 2019-02-25 |
| 1629596242 | Morgan Aubrey Yackey | Social Worker | 1509 Maple St., Scranton, PA 18505 | 2017-09-04 |
| Find all providers in zip 18505 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497264618 | Amanda Marie Kubilus | Nurse Practitioner | 743 Jefferson Ave Ste 203, Scranton, PA 18510-1638 | 2017-09-20 |
| 1427574839 | Melissa Ann Moran | Nurse Practitioner | 3 W Olive St Ste 220, Scranton, PA 18508-2572 | 2017-08-17 |
| 1831530427 | Jerrica D Sheridan | Nurse Practitioner | 1141 Moosic St Ste 3, Scranton, PA 18505-2105 | 2013-07-10 |
| 1912987322 | Elizabeth J Booth | Nurse Practitioner | 632 Prospect Ave, Scranton, PA 18505 | 2006-01-20 |
| 1821078239 | Cathy Sue Gillette | Nurse Practitioner | 2232 Pittston Ave, Scranton, PA 18505 | 2006-01-20 |
| 1447866793 | Brandilen Burke | Nurse Practitioner | 746 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2020-09-22 |
| 1275141855 | Brittany Alessandra Field | Nurse Practitioner | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-20 |
| 1538713557 | Maura Elizabeth Longstreet | Nurse Practitioner | 501 S Washington Ave, Scranton, PA 18505-3814 | 2019-07-29 |
| 1528610334 | Melissa Colarossi | Nurse Practitioner | 300 Lackawanna Ave Ste 200, Scranton, PA 18503-2001 | 2019-07-11 |
| 1902364805 | Beatriz D'amico | Nurse Practitioner | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-03-10 |
| Find all providers in SCRANTON | ||||
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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.