Individual provider Active NPI

Vincent Joseph Proietti, BS, BPH, JD

  • Pharmacist
  • Closter, NJ
National Provider Identifier
1508034620
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01279400 Issued in NJ
Practice address
400 Demarest Ave
Closter, NJ 07624-2513
Phone
(201) 784-7190
Fax
(201) 784-7197
NPI assigned
Feb 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 037701-1 NY
Pharmacist 183500000X PCT.0007894 CT
Pharmacist 183500000X 28RI01279400 NJ Primary

Addresses

Primary practice location

400 Demarest Ave
Closter, NJ 07624-2513

Mailing address

239 Washington PL
Hasbrouck Heights, NJ 07604-1909
Phone (201) 288-5356

Other identifiers 3

IdentifierTypeStateIssuer
037701-1OtherNYRPH
28RI01279400OtherNJRPH
PCT.0007894OtherCTRPH

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
Credentials
Bachelor of Science, Juris Doctor

State licenses

LicenseStateTypeSpecialty
PCT.0007894CTMDPharmacist
28RI01279400NJMDPharmacist
037701-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1508034620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 WASHINGTON PL",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041909",
            "telephone_number": "201-288-5356",
            "fax_number": "201-288-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DEMAREST AVE",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242513",
            "telephone_number": "201-784-7190",
            "fax_number": "201-784-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROIETTI",
        "first_name": "VINCENT",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "BS, BPH, JD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037701-1",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0007894",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01279400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH",
            "identifier": "037701-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH",
            "identifier": "28RI01279400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH",
            "identifier": "PCT.0007894",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Closter, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.