Active NPI
Soldier on Inc.
- Case Management Agency
- Tinton Falls, NJ
National Provider Identifier
1407640634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SOLDIER ON INC.
- Practice address
- 275 Essex Rd
Tinton Falls, NJ 07753-7863 - Phone
- (413) 588-1180
- NPI assigned
- Apr 4, 2025
- Last updated
- Apr 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kellie Donovan
- Title
- Executive Vice President
- Phone
- (413) 588-1180
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
275 Essex Rd
Tinton Falls, NJ 07753-7863
Mailing address
3525 Quakerbridge Rd Ste 906
Hamilton, NJ 08619-1266
Phone (413) 588-1180
National Provider Directory
National Provider DirectoryLocations
3525 Quakerbridge Rd
Ste 906
Hamilton, NJ 08619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743724800000",
"number": "1407640634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 QUAKERBRIDGE RD STE 906",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086191266",
"telephone_number": "413-588-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 ESSEX RD",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077537863",
"telephone_number": "413-588-1180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLDIER ON INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-04",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A",
"authorized_official_last_name": "DONOVAN",
"authorized_official_first_name": "KELLIE",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "413-588-1180",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.