Active NPI
Cheryl A Iannicelli, R.D.
- Registered Dietitian
- Dover, NJ
National Provider Identifier
1336334903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 400 W Blackwell St
Saint Clare'S Hospital
Dover, NJ 07801-2525 - Phone
- (973) 537-3805
- NPI assigned
- Sep 7, 2007
- 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 | Primary |
Addresses
Primary practice location
400 W Blackwell St
Saint Clare'S Hospital
Dover, NJ 07801-2525
Mailing address
400 West Blackwell Street
Saint Clare'S Hospital
Dover, NJ 07801
Phone (973) 537-3805
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1336334903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WEST BLACKWELL STREET",
"address_2": "SAINT CLARE'S HOSPITAL",
"city": "DOVER",
"state": "NJ",
"postal_code": "07801",
"telephone_number": "973-537-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W BLACKWELL ST",
"address_2": "SAINT CLARE'S HOSPITAL",
"city": "DOVER",
"state": "NJ",
"postal_code": "078012525",
"telephone_number": "973-537-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNICELLI",
"first_name": "CHERYL",
"middle_name": "A",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.