Individual provider Active NPI

Suzane Santos Morabito, RDN

  • Registered Dietitian
  • Phoenixville, PA
National Provider Identifier
1356970644
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN007059 Issued in PA
Practice address
1115 Green Hill LN
Phoenixville, PA 19460-2230
Phone
(610) 457-0079
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN007059 PA Primary

Addresses

Primary practice location

1115 Green Hill LN
Phoenixville, PA 19460-2230

Mailing address

1115 Green Hill LN
Phoenixville, PA 19460-2230
Phone (610) 457-0079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518000813 PA Practitioner - Registered Dietitian Or Nutrition Professional 4688005168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Simplex HealthGroup PAC ID 8022354182, 23 clinicians

Practice addresses (Care Compare)

300 Brookside Ave
Suite 125
Ambler, PA 19002-3436
Phone (877) 842-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN007059PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Simplex Health Dietitian, Registered CurrentSince Jul 1, 2020 Accepting new patients
Adrian Chiu, PH.D., PLLC PastSince Dec 1, 2023 Accepting new patients

Locations

300 Brookside Ave
Ste 180
Ambler, PA 19002
Phone (484) 450-8488

300 Brookside Ave
Bldg 4
Ambler, PA 19002
Phone (267) 702-4862

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1356970644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 GREEN HILL LN",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602230",
            "telephone_number": "610-457-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GREEN HILL LN",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602230",
            "telephone_number": "610-457-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORABITO",
        "first_name": "SUZANE",
        "middle_name": "SANTOS",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.