VT One Stop Shop

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

VT ONE STOP SHOP

Practice address

2906 Mount Ephraim Ave
Haddon Township, NJ 08104-3216

Phone

(856) 259-7260

NPI assigned

Nov 7, 2022

Last updated

Nov 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Veronica Tucker

Title

President

Phone

(856) 259-7260

Specialties & licenses 2

Addresses

Other names 1

• vt one stop shop nonprofit organization Other name

Locations

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1730896069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 MOUNT EPHRAIM AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081043216",
            "telephone_number": "856-259-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 MOUNT EPHRAIM AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081043216",
            "telephone_number": "856-259-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VT ONE STOP SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-259-7260"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vt one stop shop nonprofit organization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.