Active NPI
Rawan Ahmed Abdalla, RDN
- Registered Dietitian
- Franklin Park, NJ
National Provider Identifier
1164049219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 75 Fisher Dr
Franklin Park, NJ 08823-1349 - Phone
- (732) 993-8303
- NPI assigned
- Jul 5, 2020
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
75 Fisher Dr
Franklin Park, NJ 08823-1349
Mailing address
75 Fisher Dr
Franklin Park, NJ 08823-1349
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1164049219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FISHER DR",
"city": "FRANKLIN PARK",
"state": "NJ",
"postal_code": "088231349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FISHER DR",
"city": "FRANKLIN PARK",
"state": "NJ",
"postal_code": "088231349",
"telephone_number": "732-993-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDALLA",
"first_name": "RAWAN",
"middle_name": "AHMED",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-05",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.