Marisa Juliana Mongioi, RDN
Individual provider Active NPI Registered Dietitian · Farmingdale, NJ
NPI 1043889280 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1043889280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86149910 (NY)
- Practice address
- 301 Cranberry Rd
Farmingdale, NJ 07727-3510 - Phone
- (732) 259-3369
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86149910 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86149910 | NY | Yes |
Addresses
Primary practice location
301 Cranberry Rd
Farmingdale, NJ 07727-3510
Mailing address
301 Cranberry Rd
Farmingdale, NJ 07727-3510
Phone (732) 259-3369
Other providers in Farmingdale, NJ
- Madeline Rose Martino
- Amira Massey
- Elizabeth R McHugh
- Sheila M. Mellody
- Miller Group Home Inc
- Namaste Therapy
- Oksana Nazarov
- Mark William Ornstein
- Daniel Albar Ramza Patterson
- Sara Ann Pietropola
All providers in Farmingdale, NJ · Registered Dietitian in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.