Vital Health Centers

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

Legal business name

VITAL HEALTH CENTERS

Practice address

290 Lafayette Ave Ste 203
Hawthorne, NJ 07506-1928

Phone

(973) 949-3777

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vincent M Padula, DONPI 1558397083

Title

Partner

Phone

(856) 304-0152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Vincent M Padula, DO

  • Anesthesiology Physician
  • Marlton, NJ
  • NPI 1558397083
  Medicare reassignment NPD Authorized official
• Jeffrey Gleimer, D.O.

  • Orthopaedic Surgery Physician
  • Cherry Hill, NJ
  • NPI 1548469232
  Medicare reassignment NPD
• Katherine Ryerson

  • Case Manager/Care Coordinator
  • Hawthorne, NJ
  • NPI 1558132688
  NPD

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1386450674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BROMLEY CT",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433922",
            "telephone_number": "856-304-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LAFAYETTE AVE STE 203",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061928",
            "telephone_number": "973-949-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "PADULA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-304-0152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briseyda Eunise Vargas
• Maria Jose Vasena Marengo, #39
• Thalia Vasiliades, D.O.
• Vein Pain & Spine Institute, LLC
• Yvelisse Velasquez-Ortiz, LAMFT
• Walgreen Co
• Walgreen Co
• Christopher S Warner, ATC
• WCG NJ LLC
• Wienerphysicaltherapyservices

• Anesthesiology Physician in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.