Individual provider Active NPI

Vincent J Emiliani, MD

  • Specialist
  • Denville, NJ
National Provider Identifier
1487634457
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
544885A9S Issued in NJ
Practice address
16 Pocono Rd
Ste 201
Denville, NJ 07834-2901
Phone
(973) 627-4430
Fax
(973) 586-2336
NPI assigned
Jan 18, 2006
Last updated
Oct 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 544885A9S NJ Primary

Addresses

Primary practice location

16 Pocono Rd
Ste 201
Denville, NJ 07834-2901

Mailing address

16 Pocono Rd
Ste 201
Denville, NJ 07834-2901
Phone (973) 627-4430

Other identifiers 1

IdentifierTypeStateIssuer
1222406MedicaidNJ

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

LicenseStateTypeSpecialty
544885A9SNJMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1487634457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "STE 201",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-627-4430",
            "fax_number": "973-586-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "STE 201",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-627-4430",
            "fax_number": "973-586-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMILIANI",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "544885A9S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1222406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.