Individual provider Active NPI

Dorene Vitucci

  • Case Manager/Care Coordinator
  • Hopewell Junction, NY
National Provider Identifier
1033472402
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
121 Shenandoah Rd
Hopewell Junction, NY 12533-6604
Phone
(845) 227-3640
Fax
(845) 227-3640
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

121 Shenandoah Rd
Hopewell Junction, NY 12533-6604

Mailing address

121 Shenandoah Rd
Hopewell Junction, NY 12533-6604
Phone (845) 227-3640

Other names 1

  • Dorene Nelson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1033472402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SHENANDOAH RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336604",
            "telephone_number": "845-227-3640",
            "fax_number": "845-227-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SHENANDOAH RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336604",
            "telephone_number": "845-227-3640",
            "fax_number": "845-227-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITUCCI",
        "first_name": "DORENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORENE",
            "last_name": "NELSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.