NPIMap

Organization Active NPI

Vantage Health System

  • Psychiatric Residential Treatment Facility
  • Dumont, NJ
National Provider Identifier
1417081670
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
VANTAGE HEALTH SYSTEM
Practice address
2 Park Ave
Dumont, NJ 07628-3004
Phone
(201) 385-4400
Fax
(201) 384-7067
NPI assigned
Mar 16, 2007
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
David Griffith
Title
Ceo
Phone
(201) 385-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

2 Park Ave
Dumont, NJ 07628-3004

Mailing address

2 Park Ave
Dumont, NJ 07628-3004
Phone (201) 385-4400

Other identifiers 1

IdentifierTypeStateIssuer
0084808MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Vantage Health System Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1417081670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283004",
            "telephone_number": "201-385-4400",
            "fax_number": "201-384-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283004",
            "telephone_number": "201-385-4400",
            "fax_number": "201-384-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-385-4400"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.