Vibrant Life Medicine, P.c.
General Practice in Englewood, New Jersey
1053729319- Practice location
- 286 Engle St, Englewood, NJ 07631-2405
- Phone
- 201-569-6190
- Fax
- 201-569-6940
- Last updated
- July 30, 2014
Vibrant Life Medicine, P.c. is a healthcare organization based in Englewood, NJ. Vibrant Life Medicine, P.c. practices in Englewood, NJ. The NPI Number for Vibrant Life Medicine, P.c. is 1053729319 and holds a License No. 25MA07248000 (NJ). The current practice location address for Vibrant Life Medicine, P.c. is 286 Engle St, Englewood, NJ 07631-2405 and can be reached out via phone at 201-569-6190 and via fax at 201-569-6940.
Provider Profile Details
- NPI Number
- 1053729319
- Provider Name
- Vibrant Life Medicine, P.c.
- Provider Entity Type
- Organization
- Address
- 286 Engle St, Englewood, NJ 07631-2405
- Phone Number
- 201-569-6190
- Fax Number
- 201-569-6940
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Erica Yoon-Jung Song, MD · President · 201-569-6190
- Provider Enumeration Date
- July 30, 2014
- Last Update Date
- July 30, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 286 Engle St
Englewood, NJ 07631-2405 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-2405
- Phone Number
- 201-569-6190
- Fax Number
- 201-569-6940
Provider Business Mailing Address Details
- Address
- 286 Engle St
Englewood, NJ 07631-2405 - City
- Englewood
- State
- NJ
- Zip
- 07631-2405
- Phone Number
- 201-569-6190
- Fax Number
- 201-569-6940
License Information
- License Number
- 25MA07248000
- License State
- NJ
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Englewood, NJ
View all General Practice providers in Englewood →Frequently Asked Questions
What is the NPI number of Vibrant Life Medicine, P.c.?
The NPI number of Vibrant Life Medicine, P.c. is 1053729319. It was assigned on July 30, 2014 and is currently active in the NPPES registry.
What is the specialty of Vibrant Life Medicine, P.c.?
Vibrant Life Medicine, P.c. is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NJ under license number 25MA07248000.
Where does Vibrant Life Medicine, P.c. practice?
The practice location is 286 Engle St, Englewood, NJ 07631-2405. The office can be reached at 201-569-6190 (phone) or 201-569-6940 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053729319 directly on the NPPES registry website.