Active NPI
Melissa Ivanitski
- Registered Dietitian
- Freehold, NJ
National Provider Identifier
1336413236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 901 W Main St
Freehold, NJ 07728-2537 - Phone
- (732) 294-2766
- NPI assigned
- Feb 24, 2012
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
901 W Main St
Freehold, NJ 07728-2537
Mailing address
100 Aspen LN
Freehold, NJ 07728-4134
Phone (732) 294-2766
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1336413236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ASPEN LN",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077284134",
"telephone_number": "732-294-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282537",
"telephone_number": "732-294-2766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVANITSKI",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
- Iron Bridge Apothecary LLC
- Iron Bridge Apothecary LLC (Iron Bridge Apothecary)
- Iron Bridge Apothecary LLC (Iron Bridge Apothecary)
- Fady Ishak, OT
- Nour Bassam Isis, MD
- Donique Shonette Ivery, ANP
- Joanne Iwama, LSW
- J C Digiacomo, MD., LLC
- J Calvin Chatlos MD LLC (John C Chatlos MD)
- Jackson Family Practice LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.