Organization Active NPI

Vitality Wellness Group LLC

  • Corporate Health Clinic/Center
  • Oceanport, NJ
National Provider Identifier
1457907404
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
VITALITY WELLNESS GROUP LLC
Practice address
1000 Sanger Ave Ste 211
Oceanport, NJ 07757-1241
Phone
(646) 462-3812
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Mr. Scott Carotneuto
Title
Partner
Phone
(646) 462-3812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Corporate Health Clinic/Center 261QC1800X Primary

Addresses

Primary practice location

1000 Sanger Ave Ste 211
Oceanport, NJ 07757-1241

Mailing address

68 White St # 7272
Red Bank, NJ 07701-1656

National Provider Directory

National Provider Directory

Locations

1000 Sanger Ave
Ste 211
Oceanport, NJ 07757
Phone (646) 462-3812

68 White St
#7272
Red Bank, NJ 07701

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1457907404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WHITE ST # 7272",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SANGER AVE STE 211",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571241",
            "telephone_number": "646-462-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "CAROTNEUTO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "646-462-3812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.