Active NPI
Colleen Marie Magnani, RD
- Registered Dietitian
- Waldwick, NJ
National Provider Identifier
1154577880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 978514
- Practice address
- 93 Franklin Tpke
Waldwick, NJ 07463-1820 - Phone
- (201) 312-7153
- Fax
- (201) 603-6406
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 978514 | NJ | Primary |
Addresses
Primary practice location
93 Franklin Tpke
Waldwick, NJ 07463-1820
Mailing address
93 Franklin Turnpike
Wardwick, NJ 07463-1820
Phone (201) 312-7153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 978514 | Other | REGISTERED DIETITIAN |
Other names 1
- Colleen Marie Fitzgerald
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 978514 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1154577880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 FRANKLIN TURNPIKE",
"city": "WARDWICK",
"state": "NJ",
"postal_code": "074631820",
"telephone_number": "201-312-7153",
"fax_number": "201-603-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 FRANKLIN TPKE",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631820",
"telephone_number": "201-312-7153",
"fax_number": "201-603-6406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNANI",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "978514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "978514",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "FITZGERALD",
"middle_name": "MARIE",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waldwick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.