Active NPI
Joseph Vaccarella, RD
- Registered Dietitian
- Fort Lauderdale, FL
National Provider Identifier
1790432854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND7045
- Practice address
- 6245 N Federal Hwy # 419
Fort Lauderdale, FL 33308-1998 - Phone
- (954) 774-7800
- NPI assigned
- Mar 8, 2022
- Last updated
- Mar 8, 2022
- Sex
- Male
- 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 | ND7045 | FL | Primary |
Addresses
Primary practice location
6245 N Federal Hwy # 419
Fort Lauderdale, FL 33308-1998
Mailing address
1120 SE 22ND Ave
Pompano Beach, FL 33062-7046
Phone (954) 512-0726
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND7045 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livin on Plants LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
6245 N Federal Hwy
#419
Fort Lauderdale, FL 33308
Phone (954) 774-7800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1790432854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 SE 22ND AVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627046",
"telephone_number": "954-512-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6245 N FEDERAL HWY # 419",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081998",
"telephone_number": "954-774-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACCARELLA",
"first_name": "JOSEPH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7045",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6245 N Federal Hwy # 419",
"city": "Fort Lauderdale",
"state": "FL",
"country_code": "US",
"postal_code": "333081998",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.