The Racquet Club of Warren, Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

THE RACQUET CLUB OF WARREN, INC

Practice address

149 Mount Bethel Rd
Warren, NJ 07059-5154

Phone

(908) 647-0400

NPI assigned

Apr 30, 2025

Organization subpart

No

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

Authorized official

Name

Amy Kern

Title

Manager

Phone

(908) 647-0400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1114715877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MOUNT BETHEL RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595154",
            "telephone_number": "908-647-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MOUNT BETHEL RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595154",
            "telephone_number": "908-647-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RACQUET CLUB OF WARREN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-647-0400"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Warren, NJ
• Providers in Warren, NJ by specialty
• Point of Service in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.