Individual provider Active NPI

Morgaine Gallagher Sciaudone

  • Registered Dietitian
  • Marlton, NJ
National Provider Identifier
1396260766
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86021603 Issued in NJ
Practice address
3 Leavering Mill LN
Marlton, NJ 08053-2707
Phone
(609) 556-7699
NPI assigned
Aug 7, 2017
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 86021603 NJ Primary

Addresses

Primary practice location

3 Leavering Mill LN
Marlton, NJ 08053-2707

Mailing address

3 Leavering Mill LN
Marlton, NJ 08053-2707
Phone (609) 556-7699

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
86021603NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Family Food Nutrition Dietitian, Registered CurrentSince Mar 1, 2020 Accepting new patients
Nutrition With Morgaine LLC Dietitian, Registered CurrentSince Sep 8, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

Organizations & group practices 3

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1396260766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LEAVERING MILL LN",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532707",
            "telephone_number": "609-556-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LEAVERING MILL LN",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532707",
            "telephone_number": "609-556-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIAUDONE",
        "first_name": "MORGAINE",
        "middle_name": "GALLAGHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86021603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.