Vintage Vitality LLC
Health Educator in East Orange, New Jersey
1497456545- Practice location
- 516 Main St, East Orange, NJ 07018-2244
- Phone
- 973-704-0196
- Fax
- —
- Last updated
- March 15, 2023
Vintage Vitality LLC is a healthcare organization based in East Orange, NJ. Vintage Vitality LLC practices in East Orange, NJ. The NPI Number for Vintage Vitality LLC is 1497456545. The current practice location address for Vintage Vitality LLC is 516 Main St, East Orange, NJ 07018-2244 and can be reached out via phone at 973-704-0196.
Provider Profile Details
- NPI Number
- 1497456545
- Provider Name
- Vintage Vitality LLC
- Provider Entity Type
- Organization
- Address
- 516 Main St, East Orange, NJ 07018-2244
- Phone Number
- 973-704-0196
- Primary Taxonomy
- Health Educator · 174H00000X
- Organization Subpart
- No
- Authorized Official
- Althea Haynes, CHHP · Practitioner · 973-704-0196
- Provider Enumeration Date
- March 15, 2023
- Last Update Date
- March 15, 2023
- Certification Date
- March 15, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 516 Main St
East Orange, NJ 07018-2244 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-2244
- Phone Number
- 973-704-0196
Provider Business Mailing Address Details
- Address
- 516 Main St
East Orange, NJ 07018-2244 - City
- East Orange
- State
- NJ
- Zip
- 07018-2244
- Phone Number
- 973-704-0196
License Information
- Taxonomy
- Health Educator · 174H00000X · 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 Vintage Vitality LLC?
The NPI number of Vintage Vitality LLC is 1497456545. It was assigned on March 15, 2023 and is currently active in the NPPES registry.
What is the specialty of Vintage Vitality LLC?
Vintage Vitality LLC is registered under the primary taxonomy Health Educator (code 174H00000X).
Where does Vintage Vitality LLC practice?
The practice location is 516 Main St, East Orange, NJ 07018-2244. The office can be reached at 973-704-0196 (phone).
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 1497456545 directly on the NPPES registry website.