Kimberly Mania, PSM, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86110750 Issued in NJ

Practice address

7 Ellam Dr
Randolph, NJ 07869-2610

Phone

(973) 970-0618

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246
  Medicare reassignment NPD
• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501
  Medicare reassignment NPD
• Barnabas Health Medical Group PC

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1316772668
  NPD

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1265200257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ELLAM DR",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692610",
            "telephone_number": "973-970-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ELLAM DR",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692610",
            "telephone_number": "973-970-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIA",
        "first_name": "KIMBERLY",
        "credential": "PSM, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86110750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Makartian, MD
• Nawras Makhsida, M.D.
• Sobha Malla, RD, CSR
• Michelle Mamis, RD
• Jennifer Manger, PH.D.
• Aaron Michael Mannella, DMD
• Marc Schlemovitz DPM PA
• Michael Joseph Markoff, DMD
• Theodore Ioannis Markou, MD
• Carlos Martinez, PA

• Registered Dietitian in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.