Organization Active NPI

VDB Enterprises, LLC

  • Rehabilitation Clinic/Center
  • Fair Lawn, NJ
National Provider Identifier
1972754679
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
VDB ENTERPRISES, LLC
Practice address
18-01 Pollitt Dr
Suite 1a
Fair Lawn, NJ 07410-2813
Phone
(201) 478-4200
Fax
(201) 478-4201
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Virgilio Caraballo
Title
President & Ceo
Phone
(201) 478-4200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NJ Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

18-01 Pollitt Dr
Suite 1a
Fair Lawn, NJ 07410-2813

Mailing address

18-01 Pollitt Drive
Suite 1a
Fair Lawn, NJ 07410-2815
Phone (201) 478-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090612000432 NJ Part B Supplier - Clinic/Group Practice 1658421649 Receives reassigned benefits from 4 practitioners
Practice locations: Fair Lawn, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1972754679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-01 POLLITT DRIVE",
            "address_2": "SUITE 1A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102815",
            "telephone_number": "201-478-4200",
            "fax_number": "201-478-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-01 POLLITT DR",
            "address_2": "SUITE 1A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102813",
            "telephone_number": "201-478-4200",
            "fax_number": "201-478-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDB ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "CARABALLO",
        "authorized_official_first_name": "VIRGILIO",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "201-478-4200"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.