Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vibrant Life Medicine, PC

Organization General Practice Physician · NPI 1053729319

Vibrant Life Medicine, PC is a General Practice Physician in Englewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in
NJ
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

286 Engle St
Englewood, NJ 07631-2405
Phone: (201) 569-6190
Fax: (201) 569-6940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 25MA07248000 (NJ)

Record details

NPI number1053729319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erica Song — President · (201) 569-6190
NPI enumeratedJuly 30, 2014
Last updated in NPPESJuly 30, 2014
Mailing address286 Engle St, Englewood, NJ 07631-2405

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