Individual provider Active NPI

Alexa McDonald Moriarty, M.S., R.D.

  • Registered Dietitian
  • Westfield, NJ
National Provider Identifier
1174916126
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
01024127
Practice address
738 Marcellus Dr
Westfield, NJ 07090
Phone
(201) 653-6036
NPI assigned
Mar 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 48 007690 NY
Registered Dietitian 133V00000X 01024127 Primary

Addresses

Primary practice location

738 Marcellus Dr
Westfield, NJ 07090

Mailing address

738 Marcellus Dr
Westfield, NJ 07090-2013
Phone (610) 505-3566

Other practice location 1

1020 Springfield Ave Ste 201
Mountainside, NJ 07092-2988
Phone (201) 653-6036

Other names 1

  • Alexa McDonald Former name

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

State licenses

LicenseStateTypeSpecialty
48 007690NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Nutrition and Wellness Dietitian, Registered CurrentSince Dec 24, 2023 Accepting new patients

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": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1174916126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 MARCELLUS DR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902013",
            "telephone_number": "610-505-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 MARCELLUS DR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "07090",
            "telephone_number": "201-653-6036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Springfield Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mountainside",
            "state": "NJ",
            "postal_code": "070922988",
            "country_code": "US",
            "telephone_number": "201-653-6036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "ALEXA",
        "middle_name": "MCDONALD",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "48 007690",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "01024127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "MCDONALD",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.