{"npi":"1487632170","type":"NPI-1","status":"active","name":{"display":"Vincent Disabella DO","other":[],"first":"VINCENT","last":"DISABELLA","credential":"DO"},"specialty":{"primary_taxonomy":"207RS0010X","primary_taxonomy_description":"Sports Medicine (Internal Medicine) Physician","slug":"sports-medicine-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"207RS0010X","description":"Sports Medicine (Internal Medicine) Physician","primary":false,"state":"DE","license":"C2-0005338"},{"code":"207RS0010X","description":"Sports Medicine (Internal Medicine) Physician","primary":true,"state":"NJ","license":"25MB06246100"}]},"addresses":[{"purpose":"LOCATION","street_1":"352 S DELSEA DR STE C","city":"VINELAND","state":"NJ","postal_code":"083605306","country_code":"US","phone":"8566901616","fax":"8568966107"},{"purpose":"MAILING","street_1":"352 S DELSEA DR STE C","city":"VINELAND","state":"NJ","postal_code":"083605306","country_code":"US","phone":"8566901616","fax":"8568966107"}],"license":{"state":"NJ","number":"25MB06246100"},"identifiers":[{"type_code":"01","label":"Other","value":"5091134","state":"DE","issuer":"CIGNA"},{"type_code":"05","label":"Medicaid","value":"981003","state":"DE","issuer":null},{"type_code":"01","label":"Other","value":"1316962","state":"DE","issuer":"AETNA HMO"},{"type_code":"01","label":"Other","value":"204753265","state":"DE","issuer":"TRICARE"},{"type_code":"01","label":"Other","value":"3156674","state":"DE","issuer":"UNITED HEALTH CARE"},{"type_code":"01","label":"Other","value":"2803741000","state":"DE","issuer":"AMERIHEALTH"},{"type_code":"01","label":"Other","value":"204753265","state":"DE","issuer":"BLUE CROSS BLUE SHEILD DE"},{"type_code":"01","label":"Other","value":"2803109000","state":"DE","issuer":"INDEPENDENCE BLUE CROSS"},{"type_code":"01","label":"Other","value":"442146","state":"DE","issuer":"COVENTRY"},{"type_code":"01","label":"Other","value":"5933380","state":"DE","issuer":"AETNA PPO"},{"type_code":"01","label":"Other","value":"20-4753265","state":"DE","issuer":"NATIONAL PROVIDER NETWORK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20121120000281","type_code":"14-23","type_desc":"PRACTITIONER - SPORTS MEDICINE","state":"NJ","pac_id":"3779587381"}]},"enumeration_date":"2006-01-04","last_updated":"2021-10-11","_meta":{"source":"NPPES","snapshot_date":"2021-10-11","doc_url":"https://findmynpi.com/api"}}