Organization Active NPI

Fitcare Corporation

  • Clinic/Center
  • Wyckoff, NJ
National Provider Identifier
1487895843
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FITCARE CORPORATION
Practice address
291 Franklin Ave
Wyckoff, NJ 07481-2849
Phone
(201) 847-0119
NPI assigned
Mar 16, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Mrs. Amarilis Villanueva, REGESTERED NURSE
Title
Clinical Director
Phone
(201) 847-0119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NJ Primary

Addresses

Primary practice location

291 Franklin Ave
Wyckoff, NJ 07481-2849

Mailing address

291 Franklin Ave
Wyckoff, NJ 07481-2849
Phone (201) 847-0119

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1487895843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812849",
            "telephone_number": "201-847-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812849",
            "telephone_number": "201-847-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "AMARILIS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "201-847-0119",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGESTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.