Active NPI
Hilary A Raciti, RDN, CDN
- Registered Dietitian
- Wayne, NJ
National Provider Identifier
1194261164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86035089
- Practice address
- 1211 Hamburg Tpke
Suite 213
Wayne, NJ 07470-5043 - Phone
- (201) 582-3492
- NPI assigned
- Jan 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008615-1 | NY | |
| Registered Dietitian | 133V00000X | 86035089 | NJ | Primary |
Addresses
Primary practice location
1211 Hamburg Tpke
Suite 213
Wayne, NJ 07470-5043
Mailing address
555 North Ave Apt 21C
Fort Lee, NJ 07024-2419
Phone (201) 321-9436
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86035089 | NJ | MD | Registered Dietitian |
| 008615-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truce Nutrition | Dietitian, Registered | Current | Accepting new patients |
Locations
1581 Route 23
Ste 3
Wayne, NJ 07470
Phone (201) 482-0120
1581 State Route 23
Wayne, NJ 07470
Phone (973) 696-7707
1211 Hamburg Tpke
Ste 213
Wayne, NJ 07470
Phone (201) 582-3492
Organizations & group practices 1
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": "1484265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1194261164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 NORTH AVE APT 21C",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242419",
"telephone_number": "201-321-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 HAMBURG TPKE",
"address_2": "SUITE 213",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705043",
"telephone_number": "201-582-3492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACITI",
"first_name": "HILARY",
"middle_name": "A",
"credential": "RDN, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-13",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008615-1",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86035089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.