NPIMap

Organization Active NPI

Vitality Nutrition and Wellness Center LLC

  • Registered Dietitian
  • Linwood, NJ
National Provider Identifier
1720451263
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
934375
Legal business name
VITALITY NUTRITION AND WELLNESS CENTER LLC
Practice address
2000 Shore Road
Suite 104
Linwood, NJ 08221
Phone
(609) 904-5627
Fax
(609) 939-2750
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Georgia Saler, R.D.
Title
Owner
Phone
(609) 904-5627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 1053024 NJ
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 934375 Primary

Addresses

Primary practice location

2000 Shore Road
Suite 104
Linwood, NJ 08221

Mailing address

2000 Shore Road
Suite 104
Linwood, NJ 08221
Phone (609) 904-5627

National Provider Directory

National Provider Directory

Locations

2000 Shore Rd
Ste 104
Linwood, NJ 08221
Phone (609) 904-5627

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1720451263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SHORE ROAD",
            "address_2": "SUITE 104",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-904-5627",
            "fax_number": "609-939-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SHORE ROAD",
            "address_2": "SUITE 104",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-904-5627",
            "fax_number": "609-939-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY NUTRITION AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "SALER",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-904-5627",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "1053024",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "934375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.