Individual provider Active NPI

Louis Citarelli, MD

  • Internal Medicine Physician
  • Nutley, NJ
National Provider Identifier
1063520484
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA044506 Issued in NJ
Practice address
181 Franklin Ave
Suite 304
Nutley, NJ 07110-3820
Phone
(973) 667-6660
Fax
(973) 667-2134
NPI assigned
Aug 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA044506 NJ Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X XC8698168 NJ

Addresses

Primary practice location

181 Franklin Ave
Suite 304
Nutley, NJ 07110-3820

Mailing address

PO Box 51051
Newark, NJ 07101-5151
Phone (973) 522-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA044506NJMDInternal Medicine Physician
XC8698168NJMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internet Medical Group PC Internal Medicine CurrentSince Sep 1, 2007 Accepting new patients
Diego Ruiz DC LLC CurrentSince Sep 21, 2011 Accepting new patients
Orion Healthcare LLC Internal Medicine Past Accepting new patients
Shah Anuj MD PC Internal Medicine Past Accepting new patients

Locations

181 Franklin Ave
Ste 204
Nutley, NJ 07110
Phone (973) 667-0995

582 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-4601

181 Franklin Ave
Ste 304
Nutley, NJ 07110
Phone (973) 667-6660

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1063520484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51051",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071015151",
            "telephone_number": "973-522-0006",
            "fax_number": "973-522-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 FRANKLIN AVE",
            "address_2": "SUITE 304",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103820",
            "telephone_number": "973-667-6660",
            "fax_number": "973-667-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITARELLI",
        "first_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA044506",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "XC8698168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.