Individual provider Active NPI

Dinaz Italia, R.D.

  • Registered Dietitian
  • Haddonfield, NJ
National Provider Identifier
1184042848
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
440 Westminster Ave
Haddonfield, NJ 08033-4019
Phone
(804) 399-5060
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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 Primary

Addresses

Primary practice location

440 Westminster Ave
Haddonfield, NJ 08033-4019

Mailing address

440 Westminster Ave
Haddonfield, NJ 08033-4019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129000995 NJ Practitioner - Registered Dietitian Or Nutrition Professional 3375867054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 Route 73 S
Suite 309a
Marlton, NJ 08053-4191
Phone (804) 399-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Cardiovascular Group, P.C. CurrentSince Oct 1, 2015 Accepting new patients
Eat Well, Live Better LLC Dietitian, Registered CurrentSince Jul 24, 2014 Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

230 Kings Hwy E
Haddonfield, NJ 08033
Phone (856) 617-4858

750 Route 73 S
Ste 309A
Marlton, NJ 08053
Phone (804) 399-5060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4

Organizations & group practices 2

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1184042848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WESTMINSTER AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080334019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WESTMINSTER AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080334019",
            "telephone_number": "804-399-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITALIA",
        "first_name": "DINAZ",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.