Active NPI
Jonathan Andrew Condon, MS, RD
- Registered Dietitian
- Great Meadows, NJ
National Provider Identifier
1316756729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86344942
- Practice address
- 5 Odessa Dr
Great Meadows, NJ 07838-2000 - Phone
- (908) 455-1329
- NPI assigned
- Jan 1, 2025
- Last updated
- Jan 1, 2025
- Sex
- Male
- 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 | 86344942 | NJ | Primary |
Addresses
Primary practice location
5 Odessa Dr
Great Meadows, NJ 07838-2000
Mailing address
5 Odessa Dr
Great Meadows, NJ 07838-2000
Phone (908) 455-1329
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86344942 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735689600000",
"number": "1316756729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ODESSA DR",
"city": "GREAT MEADOWS",
"state": "NJ",
"postal_code": "078382000",
"telephone_number": "908-455-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ODESSA DR",
"city": "GREAT MEADOWS",
"state": "NJ",
"postal_code": "078382000",
"telephone_number": "908-455-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "JONATHAN",
"middle_name": "ANDREW",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-01",
"last_updated": "2025-01-01",
"certification_date": "2025-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86344942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Meadows, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.