Active NPI
Vito M Gulli
- Anatomic Pathology Physician
- New Brunswick, NJ
National Provider Identifier
1255491023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MA43891
- Practice address
- 1 Robert Wood Johnson PL
Robert Wood Johnson University Hospital - New Brunswick
New Brunswick, NJ 08901-1928 - Phone
- (732) 937-8651
- NPI assigned
- Dec 11, 2006
- Last updated
- Sep 20, 2011
- 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 |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MA43891 | NJ | Primary |
Addresses
Primary practice location
1 Robert Wood Johnson PL
Robert Wood Johnson University Hospital - New Brunswick
New Brunswick, NJ 08901-1928
Mailing address
66 W Gilbert St
Red Bank, NJ 07701
Phone (732) 212-0051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00040808 | Other | NJ | R R MCR |
| 1473506 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA43891 | NJ | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1255491023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W GILBERT ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL",
"address_2": "ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011928",
"telephone_number": "732-937-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLI",
"first_name": "VITO",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NJ",
"license": "MA43891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R R MCR",
"identifier": "P00040808",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1473506",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.