Dawn Pondish, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

720841 Issued in NJ

Practice address

3458 Neely Rd Ste 2C34
Joint Base MDL, NJ 08641-5312

Phone

(808) 212-6062

NPI assigned

Feb 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083911838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WOODSIDE DR",
            "city": "TABERNACLE",
            "state": "NJ",
            "postal_code": "080889148",
            "telephone_number": "808-212-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 NEELY RD STE 2C34",
            "city": "JOINT BASE MDL",
            "state": "NJ",
            "postal_code": "086415312",
            "telephone_number": "808-212-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDISH",
        "first_name": "DAWN",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008785",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "720841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Kerper Ladine, DDS
• Jennie O'Lera Malone, D.O.
• Faisal Hussnain Mian
• James Miller, PHD
• Elizabeth Moham, PHARMD, PSYD
• Stephanie Ricks, PMHNP-BC
• Liset Rosas
• Leah Lynn Vega, RN
• Kaila Williams, CADC
• Wilbur Wong, MD

• Registered Dietitian in Joint Base MDL, NJ
• Providers in Joint Base MDL, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.