Individual provider Active NPI

Veronika Marczyk, R.D.

  • Registered Dietitian
  • West Hartford, CT
National Provider Identifier
1003240409
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1094386 Issued in CT
Practice address
356 Park Rd
West Hartford, CT 06119-1919
Phone
(860) 305-0471
Fax
(860) 948-9478
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1094386 CT Primary

Addresses

Primary practice location

356 Park Rd
West Hartford, CT 06119-1919

Mailing address

356 Park Rd
West Hartford, CT 06119-1919
Phone (860) 305-0471

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

LicenseStateTypeSpecialty
1094386CTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1003240409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 PARK RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191919",
            "telephone_number": "860-305-0471",
            "fax_number": "860-948-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 PARK RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191919",
            "telephone_number": "860-305-0471",
            "fax_number": "860-948-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCZYK",
        "first_name": "VERONIKA",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "1094386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.