Vitality Medical and Physical Therapy LLC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

VITALITY MEDICAL AND PHYSICAL THERAPY LLC

Practice address

150 Union Ave
East Rutherford, NJ 07073-1917

Phone

(914) 376-6100

Fax

(914) 470-5056

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Nieli

Title

Credentaling Manager

Phone

(914) 376-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1316530900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 UNION AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731917",
            "telephone_number": "914-376-6100",
            "fax_number": "914-470-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 UNION AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731917",
            "telephone_number": "914-376-6100",
            "fax_number": "914-470-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "NIELI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTALING MANAGER",
        "authorized_official_telephone_number": "914-376-6100"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlynn Patricia Turre, MSW, LSW
• Union City Medical Supplies Inc. (Bio Dynamic Technologies Inc)
• Anna Urbaniak
• Deborah Vargas, LMFT
• Anne Vernieri, RPH
• Timothy Aloysius Walsh, ATC,LAT
• Leigh Jordan Weiss, ATC, PT/DPT
• Wellness One & Rehabilitation LLC
• Wellness One of South Bergen
• William C. Fruchtman OD PA

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in East Rutherford, NJ
• Providers in East Rutherford, NJ by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.