Organization Active NPI

Soldier on Inc.

  • Case Management Agency
  • Tinton Falls, NJ
National Provider Identifier
1407640634
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.