Active NPI
Alicia Frances Fanelli, RD
- Registered Dietitian
- Florham Park, NJ
National Provider Identifier
1245515170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01061949
- Practice address
- 140 Park Ave
Florham Park, NJ 07932-1049 - Phone
- (973) 404-9700
- Fax
- (908) 673-7336
- NPI assigned
- Oct 11, 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 | 01061949 | NJ | Primary |
Addresses
Primary practice location
140 Park Ave
Florham Park, NJ 07932-1049
Mailing address
600 N Wolfe St
Weinberg Galley B3 100a
Baltimore, MD 21287-0005
Phone (410) 955-6716
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 |
|---|---|---|---|
| 01061949 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1245515170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"address_2": "WEINBERG GALLEY B3 100A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-955-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PARK AVE",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321049",
"telephone_number": "973-404-9700",
"fax_number": "908-673-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANELLI",
"first_name": "ALICIA",
"middle_name": "FRANCES",
"name_prefix": "Miss",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "01061949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.