Active NPI
Joni Vitale, R.D.
- Registered Dietitian
- Somerset, NJ
National Provider Identifier
1124317029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1039776
- Practice address
- 1543 State Highway 27
Suite 14
Somerset, NJ 08873 - Phone
- (732) 846-7000
- Fax
- (732) 846-7001
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1039776 | NJ | Primary |
Addresses
Primary practice location
1543 State Highway 27
Suite 14
Somerset, NJ 08873
Mailing address
114 Ocean Blvd
Keyport, NJ 07735-6060
Phone (908) 489-0369
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1039776 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1124317029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 OCEAN BLVD",
"city": "KEYPORT",
"state": "NJ",
"postal_code": "077356060",
"telephone_number": "908-489-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1543 STATE HIGHWAY 27",
"address_2": "SUITE 14",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "08873",
"telephone_number": "732-846-7000",
"fax_number": "732-846-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "JONI",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "1039776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.