- Practice location
- 535 High Mountain RD, Suite 110, North Haledon, NJ 07508-2665
- Phone
- 973-427-2711
- Fax
- 973-427-2770
- Last updated
- August 22, 2020
Optimum Vitality is a healthcare organization based in North Haledon, NJ. Optimum Vitality practices in North Haledon, NJ. The NPI Number for Optimum Vitality is 1437208121 and holds a License No. 25MA06252500 (NJ). The current practice location address for Optimum Vitality is 535 High Mountain RD, Suite 110, North Haledon, NJ 07508-2665 and can be reached out via phone at 973-427-2711 and via fax at 973-427-2770.
Provider Profile Details
- NPI Number
- 1437208121
- Provider Name
- Optimum Vitality
- Provider Entity Type
- Organization
- Address
- 535 High Mountain RD, Suite 110, North Haledon, NJ 07508-2665
- Phone Number
- 973-427-2711
- Fax Number
- 973-427-2770
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Shelly Parra · Assistant Manager · 973-427-2711
- Provider Enumeration Date
- January 10, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 535 High Mountain RD
Suite 110
North Haledon, NJ 07508-2665 - City
- North Haledon
- State
- New Jersey
- Zip
- 07508-2665
- Phone Number
- 973-427-2711
- Fax Number
- 973-427-2770
Provider Business Mailing Address Details
- Address
- 535 High Mountain Road
Suite 110
North Haledon, NJ 07508 - City
- North Haledon
- State
- NJ
- Zip
- 07508
- Phone Number
- 973-427-2711
- Fax Number
- 973-427-2770
License Information
- License Number
- 25MA06252500
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Optimum Vitality?
The NPI number of Optimum Vitality is 1437208121. It was assigned on January 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Optimum Vitality?
Optimum Vitality is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA06252500.
Where does Optimum Vitality practice?
The practice location is 535 High Mountain RD, Suite 110, North Haledon, NJ 07508-2665. The office can be reached at 973-427-2711 (phone) or 973-427-2770 (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 1437208121 directly on the NPPES registry website.