Volt Wellness Too

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

VOLT WELLNESS TOO

Practice address

566 S Broad St
Glen Rock, NJ 07452-1333

Phone

(201) 857-3801

Fax

(201) 857-3802

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Evan Caqrlson

Title

Manager

Phone

(201) 739-9300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1295093920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 S BROAD ST",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521333",
            "telephone_number": "201-857-3801",
            "fax_number": "201-857-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 S BROAD ST",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521333",
            "telephone_number": "201-857-3801",
            "fax_number": "201-857-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLT WELLNESS TOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "CAQRLSON",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-739-9300"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.