Organization Active NPI

Back to Basics Nutrition Counseling, LLC

  • Registered Dietitian
  • Parsippany, NJ
National Provider Identifier
1073814042
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BACK TO BASICS NUTRITION COUNSELING, LLC
Practice address
90 E Halsey Rd # 321
Parsippany, NJ 07054-3713
Phone
(973) 744-7495
Fax
(973) 695-1655
NPI assigned
Nov 8, 2010
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Megan Marchaterre, RDNNPI 1346488988
Title
Owner
Phone
(973) 744-7495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 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 3

IdentifierTypeStateIssuer
193521OtherNJMEDICARE
9176666OtherNJAETNA
3159504OtherNJUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101217000237 NJ Part B Supplier - Clinic/Group Practice 1759579782 Receives reassigned benefits from 1 practitioner
Practice locations: Parsippany, NJ

National Provider Directory

National Provider Directory

Locations

307 Bloomfield Ave
Ste 105
Caldwell, NJ 07006

515 E Main St
Denville, NJ 07834
Phone (973) 586-4444

8 Hillside Ave
#207
Montclair, NJ 07042

8 Hillside Ave
Ste 207
Montclair, NJ 07042
Phone (973) 744-7495

90 E Halsey Rd
Ste 321
Parsippany, NJ 07054
Phone (973) 744-7495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1073814042",
    "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": {
        "organization_name": "BACK TO BASICS NUTRITION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "MARCHATERRE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-744-7495",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "193521",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9176666",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3159504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.