| Vantage Health System, Inc | |
|
2 Park Avenue Dumont NJ 07628 | |
| (201) 385-4400 | |
| (201) 384-7067 |
| Full Name | Vantage Health System, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Park Avenue, Dumont, New Jersey |
| Authorized Official Name and Position | David Griffith (CEO) |
| Authorized Official Contact | 2013854400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Health System, Inc 2 Park Avenue Dumont NJ 07628 Ph: (201) 385-4400 | Vantage Health System, Inc 2 Park Avenue Dumont NJ 07628 Ph: (201) 385-4400 |
| NPI Number | 1518939917 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 09/11/2019 |
| Medicare PECOS PAC ID | 8325033178 |
|---|---|
| Medicare Enrollment ID | O20040420000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518939917 | NPI | - | NPPES |
| 0005908 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tulika Sinha Srivastava |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598796963 PECOS PAC ID: 0749185049 Enrollment ID: I20031201000287 |
| Provider Name | Paul R Fine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295774982 PECOS PAC ID: 7214984632 Enrollment ID: I20050407000018 |
| Provider Name | Merav Tritt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285797852 PECOS PAC ID: 9537109533 Enrollment ID: I20050510000250 |
| Provider Name | Hetty J Hirshman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245272889 PECOS PAC ID: 9436195773 Enrollment ID: I20050720000133 |
| Provider Name | Laura Stephens Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942257704 PECOS PAC ID: 2264452135 Enrollment ID: I20051212000322 |
| Provider Name | Stephanie A Barnes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073711511 PECOS PAC ID: 8628112646 Enrollment ID: I20100215000354 |
| Provider Name | Zahava Ortsman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225137136 PECOS PAC ID: 2668516949 Enrollment ID: I20111024000411 |
| Provider Name | Teresa A Mcmahon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093788630 PECOS PAC ID: 5991026049 Enrollment ID: I20150602001269 |
| Provider Name | Melissa F Lillien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619203577 PECOS PAC ID: 1254567126 Enrollment ID: I20160315002118 |
| Provider Name | Joshua C Oderanti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114441102 PECOS PAC ID: 6002172590 Enrollment ID: I20171116001845 |
| Provider Name | Jessica M Plonchak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750837803 PECOS PAC ID: 4486907482 Enrollment ID: I20181022000387 |
| Provider Name | Latisha Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275172785 PECOS PAC ID: 6305275793 Enrollment ID: I20201228000805 |
| Provider Name | Kristine A Pendy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255428900 PECOS PAC ID: 0143626549 Enrollment ID: I20210910000325 |
| Provider Name | Debra S Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801476734 PECOS PAC ID: 1759750490 Enrollment ID: I20221220000017 |
| Provider Name | Raffaela Bartels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982136578 PECOS PAC ID: 7416307442 Enrollment ID: I20240103000871 |
| Provider Name | Tracey Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508628314 PECOS PAC ID: 6002358538 Enrollment ID: I20240611004148 |
Vantage Health System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Park Ave, Dumont, NJ 07628 Phone: 201-385-4400 Fax: 201-384-7067 | |
Mindful Metamorphosis Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Romano Dr, Dumont, NJ 07628 Phone: 201-981-2694 | |
Vantage Health System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Park Ave, Dumont, NJ 07628 Phone: 201-385-4400 Fax: 201-385-2309 | |
Vantage Health System, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Park Ave, Dumont, NJ 07628 Phone: 201-385-4400 Fax: 201-384-7067 | |
Glascow Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 E Quackenbush Ave, Dumont, NJ 07628 Phone: 757-582-1629 | |
Focus On The Family Counseling And Advocacy Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Washington Ave # 209, Dumont, NJ 07628 Phone: 732-824-2420 |