Active NPI
Mavital Nutrition LLC
- Registered Dietitian
- Orange, NJ
National Provider Identifier
1245105774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MAVITAL NUTRITION LLC
- Practice address
- 722 Scotland Rd,
Orange, NJ 07050 - Phone
- (973) 380-7294
- NPI assigned
- Oct 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marqueline Val, MS, RDN
- Title
- Managing Member
- Phone
- (973) 380-7294
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
722 Scotland Rd,
Orange, NJ 07050
Mailing address
722 Scotland Rd
Orange, NJ 07050-1141
Phone (973) 380-7294
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759708800000",
"number": "1245105774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 SCOTLAND RD",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070501141",
"telephone_number": "973-380-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 SCOTLAND RD,",
"city": "ORANGE",
"state": "NJ",
"postal_code": "07050",
"telephone_number": "973-380-7294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAVITAL NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-06",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "VAL",
"authorized_official_first_name": "MARQUELINE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "973-380-7294",
"authorized_official_credential": "MS, RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.