Joseph Christopher Vitullo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01023300 Issued in NJ

Practice address

1119 Raritan Ave
Highland Park, NJ 08904-3669

Phone

(732) 352-9927

NPI assigned

Mar 16, 2023

Last updated

Mar 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1770284531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 UNION AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203541",
            "telephone_number": "732-725-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 RARITAN AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089043669",
            "telephone_number": "732-352-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITULLO",
        "first_name": "JOSEPH",
        "middle_name": "CHRISTOPHER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01023300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.