VANTAGE HEALTH SYSTEM INC NPI 1124499033

NPI Information

  • NPI: 1124499033
  • Provider Name: VANTAGE HEALTH SYSTEM, INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 93 W PALISADE AVE
    ENGLEWOOD, NJ
    ZIP 07631
  • Phone: (201) 385-4400

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NPI Details

VANTAGE HEALTH SYSTEM, INC is a mental health (including community mental health center) clinic center in Englewood, NJ. VANTAGE HEALTH SYSTEM, INC NPI is 1124499033. The provider is registered as an organization entity type.

The provider's business location address is:

93 W PALISADE AVE
ENGLEWOOD, NJ
ZIP 07631-611
Phone: (201) 385-4400
Fax: (201) 384-7067

The provider's authorized official is Betty Treloar .
The authorized official title is Patient Account Manager and has the following contact phone number (201) 385-4400.

The enumeration date for this NPI number is 10/19/2015 and was last updated on 10/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)2000117NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17759509MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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