Active NPI
Vito Angelo Dituri, R.PH.
- Pharmacist
- Newark, NJ
National Provider Identifier
1053426510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03009600
- Practice address
- 393 Central Ave
Newark, NJ 07103-2842 - Phone
- (973) 757-1200
- Fax
- (973) 757-1201
- NPI assigned
- Aug 21, 2006
- Last updated
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03009600 | NJ | Primary |
Addresses
Primary practice location
393 Central Ave
Newark, NJ 07103-2842
Mailing address
393 Central Ave
Newark, NJ 07103-2842
Phone (973) 757-1200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RS00657800 | Other | NJ | PHARMACY LICENSE NUMBER |
| 0099694 | Medicaid | NJ | |
| 0099716 | Medicaid | NJ |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03009600 | NJ | MD | Pharmacist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Town Total Health
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1306057757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1053426510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032842",
"telephone_number": "973-757-1200",
"fax_number": "973-757-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032842",
"telephone_number": "973-757-1200",
"fax_number": "973-757-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITURI",
"first_name": "VITO",
"middle_name": "ANGELO",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03009600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "28RS00657800",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099694",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099716",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.