Marisa Mozer, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164006251 Issued in IL

Practice address

1700 W Van Buren Suite 425
Triangle Office Building:
Chicago, IL 60612

Phone

(312) 942-5926

Fax

(312) 942-5203

NPI assigned

Jan 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1063802247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W VAN BUREN SUITE 425",
            "address_2": "TRIANGLE OFFICE BUILDING:",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-942-5926",
            "fax_number": "312-942-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W VAN BUREN SUITE 425",
            "address_2": "TRIANGLE OFFICE BUILDING:",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-942-5926",
            "fax_number": "312-942-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZER",
        "first_name": "MARISA",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164006251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Moynihan, DO
• Sikhumbuzo (Kim) Moyo, LCSW
• Mohammad Mozaffar
• Allison Mozdzen, LCSW
• Christine Mozer
• Martin F. Mozes, M.D.
• Jeremy Mozwecz, PHARMD
• Melissa Alysom Mozwecz, APN NNP-BC
• MP Health Solutions Inc
• MP Pediatrics

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.