| Vitaltrak LLC | |
|
1215 Route 70 Ste 1005 Lakewood NJ 08701-6958 | |
| (732) 994-3390 | |
| (973) 653-2160 |
| Full Name | Vitaltrak LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1215 Route 70 Ste 1005, Lakewood, New Jersey |
| Authorized Official Name and Position | Hillel Peltz (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8556218250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitaltrak LLC 1215 Route 70 Ste 1005 Lakewood NJ 08701-6958 Ph: (732) 994-3390 | Vitaltrak LLC 1215 Route 70 Ste 1005 Lakewood NJ 08701-6958 Ph: (732) 994-3390 |
| NPI Number | 1164221271 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 01/22/2026 |
| Certification Date | 01/22/2026 |
| Medicare PECOS PAC ID | 6709397250 |
|---|---|
| Medicare Enrollment ID | O20250612003394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164221271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Hillel Peltz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881622074 PECOS PAC ID: 6103876099 Enrollment ID: I20050128000033 |
| Provider Name | Fruma R Roth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629514187 PECOS PAC ID: 5890072755 Enrollment ID: I20170501002286 |
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