VIMAX LLC


Address: 6 Cornwall Ct, East Brunswick, NJ 08816-3347
Phone: 7329554141

VIMAX LLC (NPI# 1710504881) 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) 1710504881
Entity Type Organization
Organization Name VIMAX LLC
Practice Address 6 Cornwall Ct
East Brunswick
NJ 08816-3347
Mailing Address 108 Galloping Hill Rd
Colts Neck
NJ 07722-1538
Practice Telephone 7329554141
Mailing Telephone 7326168090
Enumeration Date 2020-07-06
Last Update Date 2020-07-06
Authorized Official Name VIKTOR DUBINSKIY (PRESIDENT)
Authorized Official Telephone 7326168090
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Positive Reset Recovery Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659894210 Vimax LLC Clinic/Center 1749 Hooper Ave Ste 202, Toms River, NJ 08753-8130 2017-07-25
1922440627 Vimax LLC Clinic/Center 6 Cornwall St., Colts Neck, NJ 07722 2013-07-23
1013534163 Vimax LLC Clinic/Center 1749 Hooper Ave Ste 202, Toms River, NJ 08753-8130 2020-07-05

Office Location

Street Address 6 CORNWALL CT
City EAST BRUNSWICK
State NJ
Zip Code 08816-3347

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1356805402 Sr Plastic Surgery PC Surgery 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 2019-01-23
1083199012 Kami Ives Speech-Language Pathologist 431 Cranbury Rd., East Brunswick, NJ 08816 2018-09-25
1316442460 Emily Katherine Smith Physician Assistant 418 Route 18, East Brunswick, NJ 08816 2018-03-29
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1326607243 Recovery Zone Solutions, LLC Clinic/Center 124 East Main Street, Ste#109, Denville, NJ 07834 2019-06-13
1720644800 Ars Treatment Centers of New Jersey, PC Clinic/Center 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 2019-05-14
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Competitor

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City EAST BRUNSWICK
Zip Code 08816

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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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