VIBRANT LIFE MEDICINE, P.C.
NPI 1053729319
General Practice in Englewood, NJ

Active since July 30, 2014
286 ENGLE ST, ENGLEWOOD, NJ 07631(201) 569-6190(201) 569-6940 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vibrant Life Medicine, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIBRANT LIFE MEDICINE, P.C. (NPI 1053729319) is a healthcare organization registered as a general practice in Englewood, New Jersey and active in the NPI registry since July 2014. The organization lists Erica Yoon-jung Song, President, as its authorized official.

NPPES Registry Identity

NPI1053729319
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVIBRANT LIFE MEDICINE, P.C.
Location Address286 ENGLE STEnglewood, NJ 07631-2405
Mailing Address286 Engle StEnglewood, NJ 07631-2405 · (201) 569-6190 · Fax (201) 569-6940
Fax(201) 569-6940
Organization SubpartNo
Authorized OfficialErica Yoon-jung SongPresident · (201) 569-6190
Enumeration DateJuly 30, 2014
NPI 1053729319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NJ · 25MA07248000
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
286 ENGLE ST, Englewood, NJ 07631

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
286 ENGLE ST
ENGLEWOOD, NJ 07631
Nurse Practitioner (Family)
286 ENGLE ST
ENGLEWOOD, NJ 07631
Obstetrics & Gynecology
286 ENGLE ST, SECOND FL
ENGLEWOOD, NJ 07631
Internal Medicine
286 ENGLE ST
ENGLEWOOD, NJ 07631
Obstetrics & Gynecology
286 ENGLE ST
ENGLEWOOD, NJ 07631
Obstetrics & Gynecology
286 ENGLE ST
ENGLEWOOD, NJ 07631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vibrant Life Medicine, P.C.'s NPI number?

The NPI number for Vibrant Life Medicine, P.C. is 1053729319. It was assigned to this organization in the NPPES registry on July 30, 2014.

Where is Vibrant Life Medicine, P.C. located?

Vibrant Life Medicine, P.C. is located at 286 Engle St, Englewood, NJ 07631. The listed phone number is (201) 569-6190.

What is Vibrant Life Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Vibrant Life Medicine, P.C. was last updated on July 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.