Active NPI
Melissa Lillian Rasimowicz, REGISTERED DIETITIAN
- Registered Dietitian
- Bordentown, NJ
National Provider Identifier
1053029702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3 3Rd St
Bordentown, NJ 08505-1370 - Phone
- (609) 651-0494
- NPI assigned
- Nov 11, 2022
- 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 | Primary |
Addresses
Primary practice location
3 3Rd St
Bordentown, NJ 08505-1370
Mailing address
14 Cottonwood CT
Monroe Township, NJ 08831-4436
Other practice location 1
14 Cottonwood Ct
Monroe Township, NJ 08831-4436
Phone (732) 754-3034
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1053029702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 COTTONWOOD CT",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "088314436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 3RD ST",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085051370",
"telephone_number": "609-651-0494"
}
],
"practiceLocations": [
{
"address_1": "14 Cottonwood Ct",
"address_purpose": "LOCATION",
"city": "Monroe Township",
"state": "NJ",
"postal_code": "088314436",
"country_code": "US",
"telephone_number": "732-754-3034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASIMOWICZ",
"first_name": "MELISSA",
"middle_name": "LILLIAN",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bordentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.