NPIMap

Organization Active NPI

Vantage Health System

  • Mental Illness Community Based Residential Treatment Facility
  • Teaneck, NJ
National Provider Identifier
1326588773
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
VANTAGE HEALTH SYSTEM
Practice address
315 Locust St
Teaneck, NJ 07666-4003
Phone
(201) 907-0726
NPI assigned
Mar 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2017

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

Authorized official

Name
Mr. Christian J Boisits Jr.NPI 1538696893
Title
Residential Coordinator
Phone
(201) 214-4661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

315 Locust St
Teaneck, NJ 07666-4003

Mailing address

93 W Palisade Ave
Englewood, NJ 07631-2611
Phone (201) 567-0500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488672000000",
    "number": "1326588773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 W PALISADE AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312611",
            "telephone_number": "201-567-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LOCUST ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664003",
            "telephone_number": "201-907-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-05",
        "status": "A",
        "authorized_official_last_name": "BOISITS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RESIDENTIAL COORDINATOR",
        "authorized_official_telephone_number": "201-214-4661",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; 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.