Active NPI
Emily Prendergast, MS, RD
- Registered Dietitian
- Fair Lawn, NJ
National Provider Identifier
1194239764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86034737
- Practice address
- 39-05 Sunderland Dr
Fair Lawn, NJ 07410-5427 - Phone
- (201) 315-0761
- NPI assigned
- Nov 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 86034737 | Primary |
Addresses
Primary practice location
39-05 Sunderland Dr
Fair Lawn, NJ 07410-5427
Mailing address
39-05 Sunderland Dr
Fair Lawn, NJ 07410-5427
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511049600000",
"number": "1194239764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39-05 SUNDERLAND DR",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39-05 SUNDERLAND DR",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105427",
"telephone_number": "201-315-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENDERGAST",
"first_name": "EMILY",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-19",
"last_updated": "2017-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86034737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.