Organization Active NPI

Wendy Martinez, LLC

  • Registered Dietitian
  • Rutherford, NJ
National Provider Identifier
1205109774
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
870645 Issued in NY
Legal business name
WENDY MARTINEZ, LLC
Practice address
94 Elliott PL
Rutherford, NJ 07070-1913
Phone
(201) 978-0789
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Ms. Wendy Martinez, R.D.,CDE
Title
Registered Dietitian, Cde
Phone
(201) 978-0789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 870645 NY Primary

Addresses

Primary practice location

94 Elliott PL
Rutherford, NJ 07070-1913

Mailing address

94 Elliott PL
Rutherford, NJ 07070-1913
Phone (201) 978-0789

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1205109774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 ELLIOTT PL",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701913",
            "telephone_number": "201-978-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 ELLIOTT PL",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701913",
            "telephone_number": "201-978-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY MARTINEZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, CDE",
        "authorized_official_telephone_number": "201-978-0789",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D.,CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "870645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.