OrganizationActive
Vintage Vitality LLC
NPI 1497456545 · Health Educator · East Orange, NJ
Vintage Vitality LLC is a Health Educator organization in East Orange, NJ (NPI 1497456545).
Provider details
- NPI number
- 1497456545
- Entity type
- Organization
- Primary specialty
- Health EducatorOther Service Providers
- Organization subpart
- No
- Authorized official
- Althea Haynes, Practitioner(973) 704-0196
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
516 Main St
East Orange, NJ 07018-2244
Phone: (973) 704-0196
Street-level locationGet directions
Mailing address
516 Main St
East Orange, NJ 07018-2244
Registry dates
- Enumerated
- 2023-03-15
- Last updated
- 2023-03-15
- Certified
- 2023-03-15
Frequently asked questions
- What is Vintage Vitality LLC's NPI number?
- Vintage Vitality LLC's National Provider Identifier (NPI) is 1497456545, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vintage Vitality LLC?
- Vintage Vitality LLC is classified in the NPPES registry as Health Educator (Other Service Providers).
- Where is Vintage Vitality LLC located?
- Vintage Vitality LLC's practice location on file with NPPES is 516 Main St, East Orange, NJ 07018-2244.
- What is Vintage Vitality LLC's phone number?
- The practice phone number listed in the NPPES registry for Vintage Vitality LLC is (973) 704-0196.
- Who is the authorized official for Vintage Vitality LLC?
- The authorized official listed on Vintage Vitality LLC's NPPES record is Althea Haynes, Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vintage Vitality LLC's NPI active?
- Yes — Vintage Vitality LLC's NPI (1497456545) is active in the NPPES registry as of the last update on 2023-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.