Active NPI
Marisol Vazquez, RDN
- Registered Dietitian
- Parsippany, NJ
National Provider Identifier
1013184480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 946877
- Practice address
- 90 E Halsey Rd # 321
Parsippany, NJ 07054-3713 - Phone
- (973) 744-7495
- Fax
- (973) 695-1655
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 946877 | NJ | Primary |
Addresses
Primary practice location
90 E Halsey Rd # 321
Parsippany, NJ 07054-3713
Mailing address
90 E Halsey Rd Ste 321
Parsippany, NJ 07054-3713
Phone (973) 744-7495
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6263501 | Other | NJ | AETNA HMO |
| 2903060 | Other | NJ | UNITEDHEALTHCARE |
| P3906886 | Other | NJ | OXFORD |
| 9817164 | Other | NJ | AETNA NON HMO |
| 193521 | Other | NJ | MEDICARE |
Other names 1
- Marisol Cardona
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 946877 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Eating Company LLC | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1013184480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 E HALSEY RD STE 321",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070543713",
"telephone_number": "973-744-7495",
"fax_number": "973-771-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 E HALSEY RD # 321",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070543713",
"telephone_number": "973-744-7495",
"fax_number": "973-695-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "MARISOL",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "946877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "6263501",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "2903060",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3906886",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "9817164",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "193521",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARISOL",
"last_name": "CARDONA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.