Dominic Anthony Acchitelli, A.T.,C

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

25MT00059500 Issued in NJ

Practice address

501 Jarvis Rd
Sicklerville, NJ 08081-2169

Phone

(856) 232-9703

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326116708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 WITHERSPOON CT",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122216",
            "telephone_number": "856-589-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 JARVIS RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812169",
            "telephone_number": "856-232-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCHITELLI",
        "first_name": "DOMINIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "A.T.,C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "25MT00059500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Student in an Organized Health Care Education/Training Program in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.