Marita Gargiulo, PHD, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000020 Issued in CT

Practice address

100 Broadway
North Haven, CT 06473-2365

Phone

(203) 248-8047

Fax

(203) 248-8047

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Marita Gargiulo Holl Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1326196064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HILL ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141521",
            "telephone_number": "203-248-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROADWAY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732365",
            "telephone_number": "203-248-8047",
            "fax_number": "203-248-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGIULO",
        "first_name": "MARITA",
        "name_prefix": "Dr.",
        "credential": "PHD, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P817491",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "270000020CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "714375",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARITA",
            "last_name": "HOLL",
            "middle_name": "GARGIULO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Dietitian in North Haven, CT
• Providers in North Haven, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.