Individual provider Active NPI

Diane Melano, NTC

  • Nutritionist
  • Northfield, NJ
National Provider Identifier
1235632399
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
0450240182 Issued in NJ
Practice address
213 Roosevelt Ave
Northfield, NJ 08225-1931
Phone
(609) 277-1712
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 0450240182 NJ Primary

Addresses

Primary practice location

213 Roosevelt Ave
Northfield, NJ 08225-1931

Mailing address

213 Roosevelt Ave
Northfield, NJ 08225-1931
Phone (609) 277-1712

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

State licenses

LicenseStateTypeSpecialty
0450240182NJMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1235632399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 ROOSEVELT AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251931",
            "telephone_number": "609-277-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 ROOSEVELT AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251931",
            "telephone_number": "609-277-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANO",
        "first_name": "DIANE",
        "credential": "NTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NJ",
            "license": "0450240182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.