Active NPI
Martha Czymmek, RD
- Registered Dietitian
- Newark, DE
National Provider Identifier
1003886904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN0000135
- Practice address
- 4701 Ogletown-Stanton Road
Suite 1213
Newark, DE 19713 - Phone
- (302) 623-4550
- Fax
- (302) 623-4554
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- 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 | DN0000135 | DE | Primary |
Addresses
Primary practice location
4701 Ogletown-Stanton Road
Suite 1213
Newark, DE 19713
Mailing address
PO Box 30170
Wilmington, DE 19805
Phone (302) 623-7262
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1003886904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30170",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19805",
"telephone_number": "302-623-7262",
"fax_number": "302-623-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 OGLETOWN-STANTON ROAD",
"address_2": "SUITE 1213",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713",
"telephone_number": "302-623-4550",
"fax_number": "302-623-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZYMMEK",
"first_name": "MARTHA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DE",
"license": "DN0000135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.