Provider Demographics
NPI:1780743120
Name:VREELAND ASSOCIATES, LLC
Entity type:Organization
Organization Name:VREELAND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:LONGO
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTH OFFICER
Authorized Official - Phone:973-634-8227
Mailing Address - Street 1:145 VREELAND AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1618
Mailing Address - Country:US
Mailing Address - Phone:973-235-1212
Mailing Address - Fax:973-235-1527
Practice Address - Street 1:145 VREELAND AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-1618
Practice Address - Country:US
Practice Address - Phone:973-235-1212
Practice Address - Fax:973-235-1527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC043186001041C0700X
NJ37PC00076200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty