Vytalize Health Medical 2 LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VYTALIZE HEALTH MEDICAL 2 LLC

Practice address

2 Hudson PL FL 6
Hoboken, NJ 07030-5594

Phone

(201) 205-2628

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Faris Ghawi

Title

Ceo

Phone

(202) 286-6666

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Hasan Bayat, M.D.

  • Internal Medicine Physician
  • Lehighton, PA
  • NPI 1003106113
  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1720554348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HUDSON PL FL 6",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305594",
            "telephone_number": "201-205-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HUDSON PL FL 6",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305594",
            "telephone_number": "201-205-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYTALIZE HEALTH MEDICAL 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "GHAWI",
        "authorized_official_first_name": "FARIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-286-6666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Sebastian Vizcaino, LPC
• Jasmine F Vo, PHARMD
• Amanda Vojta
• Tina Vridhachalam
• Richard Vu, NP
• Vytalize Health Oh Aco LLC
• Vytalize Medical PA
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Internal Medicine Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.