Organization Active NPI

Gifted Fitness

  • Developmental Disabilities Clinic/Center
  • Ramsey, NJ
National Provider Identifier
1689132664
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
GIFTED FITNESS
Practice address
50 Spring St
Ramsey, NJ 07446-1131
Phone
(201) 951-9063
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Mr. Russell P. Van Ness
Title
Owner
Phone
(201) 951-9063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

50 Spring St
Ramsey, NJ 07446-1131

Mailing address

72 Prospect St Apt a
Ramsey, NJ 07446-2540
Phone (201) 951-9063

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1689132664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PROSPECT ST APT A",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462540",
            "telephone_number": "201-951-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SPRING ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461131",
            "telephone_number": "201-951-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "VAN NESS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-951-9063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.