Individual provider Active NPI

Nadia Maharaj, RD

  • Registered Dietitian
  • Bronx, NY
National Provider Identifier
1174096143
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
913695 Issued in NY
Practice address
1434 Williamsbridge Rd
Bronx, NY 10461
Phone
(718) 583-7736
Fax
(646) 350-1634
NPI assigned
Jan 2, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 913695 NY Primary

Addresses

Primary practice location

1434 Williamsbridge Rd
Bronx, NY 10461

Mailing address

1434 Williamsbridge Rd
Bronx, NY 10461-2507
Phone (718) 583-7736

Other practice location 1

136 Madison Ave
New York, NY 10016-6711
Phone (212) 683-1988

Other practice location 2

136 Madison Ave
New York, NY 10016-6711
Phone (212) 683-1988

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

LicenseStateTypeSpecialty
913695NYMDRegistered Dietitian
007164NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1174096143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-583-7736",
            "fax_number": "646-350-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-583-7736",
            "fax_number": "646-350-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166711",
            "country_code": "US",
            "telephone_number": "212-683-1988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166711",
            "country_code": "US",
            "telephone_number": "212-683-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHARAJ",
        "first_name": "NADIA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "913695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.