NPIMap

Organization Active NPI

Personal NP Services, LLC

Doing business as Vitality NP Services

  • Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1649658105
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PERSONAL NP SERVICES, LLC
Doing business as
Vitality NP Services
Practice address
456 Chestnut St Ste 102
Lakewood, NJ 08701-6124
Phone
(732) 282-7200
Fax
(732) 282-7300
NPI assigned
May 15, 2015
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Ettie Tress
Title
Administrator
Phone
(732) 987-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

456 Chestnut St Ste 102
Lakewood, NJ 08701-6124

Mailing address

685 River Ave
Suite 3
Lakewood, NJ 08701-5288
Phone (732) 987-3855

Other names 1

  • Vitality NP Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150825003750 NJ Part B Supplier - Clinic/Group Practice 9335455179 Receives reassigned benefits from 94 practitioners
Practice locations: Newton, NJ; West Orange, NJ; Voorhees, NJ; Vauxhall, NJ; South Plainfield, NJ; Plainfield, NJ; Perth Amboy, NJ; Orange, NJ…

National Provider Directory

National Provider Directory

Locations

1399 Chapel Ave W
Cherry Hill, NJ 08002
Phone (718) 501-5623

456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200

1770 Tobias Ave
Manchester, NJ 08759
Phone (732) 657-1800

225 E Main St
Moorestown, NJ 08057

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1649658105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 RIVER AVE",
            "address_2": "SUITE 3",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015288",
            "telephone_number": "732-987-3855",
            "fax_number": "732-282-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 CHESTNUT ST STE 102",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016124",
            "telephone_number": "732-282-7200",
            "fax_number": "732-282-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL NP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "TRESS",
        "authorized_official_first_name": "ETTIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-987-3855"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality NP Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.