Diabetes Management Services, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DIABETES MANAGEMENT SERVICES, LLC

Practice address

261 Old Hook Rd
Westwood, NJ 07675-3102

Phone

(845) 598-7204

Fax

(845) 201-8319

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Kathy Tigue, RD

Title

Dietitian

Phone

(845) 598-7204

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1154579746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700-76 BROADWAY #344",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751674",
            "telephone_number": "845-598-7204",
            "fax_number": "845-201-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753102",
            "telephone_number": "845-598-7204",
            "fax_number": "845-201-8319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 Old Hook Rd",
            "address_purpose": "LOCATION",
            "city": "Emerson",
            "state": "NJ",
            "postal_code": "076301381",
            "country_code": "US",
            "telephone_number": "914-309-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "TIGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "845-598-7204",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NJ",
            "license": "26NC07813500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "569991",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "127863",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larissa De Araujo Fortunato
• Linda Diane Paulette De Luca, DDS
• Melissa Lee Delatorre, MS, OTR/L
• Elizabeth Delrosario, M.D.
• Nicholas C Derobertis, DMD
• Maria Isabel Diaz Castro
• Paul M Dicker, MD
• Dino Ditrolio
• Joanna Marie Disalvo, MSN, APRN, FNP-C
• Daniel E Distasi, D.D.S.

• Registered Dietitian in Westwood, NJ
• Providers in Westwood, 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 Apr 10, 2020; 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.