Active NPI
Vitality Wellness Group LLC
- Corporate Health Clinic/Center
- Oceanport, NJ
National Provider Identifier
1457907404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corporate Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.