Organization Active NPI

Vita Valens Foundation Inc

  • Case Management Agency
  • Brooklyn, NY
National Provider Identifier
1033033923
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VITA VALENS FOUNDATION INC
Practice address
34 35TH St # B516
Brooklyn, NY 11232-2021
Phone
(347) 354-7144
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeffrey Fan
Title
Chief Executive Officer
Phone
(609) 610-5546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

34 35TH St # B516
Brooklyn, NY 11232-2021

Mailing address

34 35TH St # B516
Brooklyn, NY 11232-2021
Phone (347) 354-7144

National Provider Directory

National Provider Directory

Locations

34 35th St
#B516
Brooklyn, NY 11232

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1033033923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 35TH ST # B516",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322021",
            "telephone_number": "347-354-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 35TH ST # B516",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322021",
            "telephone_number": "347-354-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA VALENS FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "609-610-5546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.