Vax Mobile NC LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VAX MOBILE NC LLC

Practice address

204 Crestmont Ridge Dr
Apex, NC 27523-7119

Phone

(847) 275-1489

NPI assigned

May 22, 2020

Organization subpart

No

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

Authorized official

Name

Stephan Tokarz

Title

Ceo

Phone

(847) 275-1489

Specialties & licenses 2

Addresses

Other names 1

• Vax Mobile Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1972126092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CRESTMONT RIDGE DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275237119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CRESTMONT RIDGE DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275237119",
            "telephone_number": "847-275-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAX MOBILE NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "TOKARZ",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-275-1489"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.vaxmobile.com",
            "affiliation": "N",
            "address_1": "204 Crestmont Ridge Dr",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275237119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vax Mobile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vax Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Josefa Van-Niel
• Dawn Karen Vannatta, MS, OTR/L
• Andrea Elise Vargas
• Tabitha Crystal Vargo, MS, CCC-SLP
• Daylin Vasallo Hernandez, MD
• Vaxon LLC
• Vaxon LLC
• Keerthana Velappan, AUD
• Ronald David Venezie, DDS, MS
• Alexander Vergara, LCMHC-A

• Multi-Specialty Clinic/Center in Apex, NC
• Providers in Apex, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.