NPIMap

Organization Active NPI

Vimax LLC

Doing business as Ocean Insight Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toms River, NJ
National Provider Identifier
1659894210
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VIMAX LLC
Doing business as
Ocean Insight Center
Practice address
1749 Hooper Ave Ste 202
Toms River, NJ 08753-8130
Phone
(732) 930-1020
NPI assigned
Jul 25, 2017
Last updated
Jul 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Viktor Dubinskiy
Title
President
Phone
(732) 616-8090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1749 Hooper Ave Ste 202
Toms River, NJ 08753-8130

Mailing address

108 Galloping Hill Rd
Colts Neck, NJ 07722-1538
Phone (732) 616-8090

Other identifiers 1

IdentifierTypeStateIssuer
0583090MedicaidNJ

Other names 1

  • Ocean Insight Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150306001011 NJ Part B Supplier - Clinic/Group Practice 7416273644 Receives reassigned benefits from 40 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Toms River, NJ; East Brunswick, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Vimax LLC

    dba Positive Reset Mental Health Clinic

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Colts Neck, NJ
    • NPI 1922440627

    O20150306001011

    Same enrollment

National Provider Directory

National Provider Directory

Locations

1749 Hooper Ave
Ste 202
Toms River, NJ 08753
Phone (732) 930-1020

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1659894210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GALLOPING HILL RD",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221538",
            "telephone_number": "732-616-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 HOOPER AVE STE 202",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538130",
            "telephone_number": "732-930-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIMAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "DUBINSKIY",
        "authorized_official_first_name": "VIKTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-616-8090"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0583090",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Insight Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.