Individual provider Active NPI

Nathalia Rosa Defigueiredo, MS, RD

  • Registered Dietitian
  • Lyndhurst, NJ
National Provider Identifier
1104434265
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
576 Valley Brook Ave Ste M1
Lyndhurst, NJ 07071-1919
Phone
(646) 389-9196
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary
Nutritionist 133N00000X
Nutrition Education Nutritionist 133NN1002X
Metabolic Nutrition Registered Dietitian 133VN1006X
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X

Addresses

Primary practice location

576 Valley Brook Ave Ste M1
Lyndhurst, NJ 07071-1919

Mailing address

113 Rutherford PL
North Arlington, NJ 07031-6303
Phone (646) 389-9196

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Nutrition Sisters LLC Dietitian, Registered CurrentSince Oct 1, 2020 Accepting new patients

Locations

576 Valley Brook Ave
Ste M1
Lyndhurst, NJ 07071
Phone (646) 389-9196

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1104434265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 RUTHERFORD PL",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316303",
            "telephone_number": "646-389-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 VALLEY BROOK AVE STE M1",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711919",
            "telephone_number": "646-389-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFIGUEIREDO",
        "first_name": "NATHALIA",
        "middle_name": "ROSA",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.