Individual provider Active NPI

Erin Kelly Falco, RD

  • Registered Dietitian
  • Red Bank, NJ
National Provider Identifier
1073950556
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0177194 Issued in NJ
Practice address
31 Leroy PL
Red Bank, NJ 07701-1711
Phone
(732) 299-6624
NPI assigned
May 24, 2013
Last updated
Feb 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0177194 NJ Primary

Addresses

Primary practice location

31 Leroy PL
Red Bank, NJ 07701-1711

Mailing address

31 Leroy PL
Red Bank, NJ 07701-1711
Phone (732) 299-6624

Other identifiers 1

IdentifierTypeStateIssuer
368337OtherNJMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141013000215 NJ Practitioner - Registered Dietitian Or Nutrition Professional 2466672571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erin Falco, RDN, IncGroup PAC ID 0244504397, 2 clinicians

Practice addresses (Care Compare)

39 Sycamore Ave
Little Silver, NJ 07739-1208
Phone (732) 784-8378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0177194NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Falco, RDN, Inc Dietitian, Registered CurrentSince Jul 24, 2017 Accepting new patients

Locations

39 Sycamore Ave
Little Silver, NJ 07739
Phone (732) 530-7730

31 Leroy Pl
Red Bank, NJ 07701
Phone (732) 299-6624

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1073950556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LEROY PL",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011711",
            "telephone_number": "732-299-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LEROY PL",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011711",
            "telephone_number": "732-299-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCO",
        "first_name": "ERIN",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "0177194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "368337",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.