OPTIMUM VITALITY
NPI 1437208121
Specialist in North Haledon, NJ
- Organization
- Specialist
About OPTIMUM VITALITY
This page provides the complete NPI Profile along with additional information for Optimum Vitality, a provider established in North Haledon, New Jersey operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1437208121 assigned on January 2007. The practitioner's primary taxonomy code is 174400000X with license number 25MA06252500 (NJ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Shelly Parra (Assistant Manager)
- NPI
- 1437208121 Verify this NPI
- Provider Name
- OPTIMUM VITALITY
- Entity Type
- Organization
- Location Address
- 535 HIGH MOUNTAIN RD SUITE 110 NORTH HALEDON, NJ 07508
- Location Phone
- (973) 427-2711
- Location Fax
- (973) 427-2770
- Mailing Address
- 535 HIGH MOUNTAIN ROAD SUITE 110 NORTH HALEDON, NJ 07508
- Mailing Phone
- (973) 427-2711
- Mailing Fax
- (973) 427-2770
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-10-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 25MA06252500
- License State
- NJ
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
NORTH HALEDON, NJ 07508
NORTH HALEDON, NJ 07508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437208121, enumerated as an "organization" on January 10, 2007.
The provider is located at 535 HIGH MOUNTAIN RD SUITE 110 NORTH HALEDON, NJ 07508 and the phone number is (973) 427-2711.
Specialist with taxonomy code 174400000X.
