Active NPI
Patricia Dianne Pomponio, R.D.
- Registered Dietitian
- Clark, NJ
National Provider Identifier
1447309117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 472 Westfield Ave
Clark, NJ 07066-1756 - Phone
- (908) 322-0025
- Fax
- (908) 322-9955
- NPI assigned
- Jan 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | NU | Primary |
Addresses
Primary practice location
472 Westfield Ave
Clark, NJ 07066-1756
Mailing address
311 Montague Ave
Scotch Plains, NJ 07076-1223
Phone (908) 322-0025
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2241935 | Other | NJ | UHC |
| 2056984003 | Other | NJ | CIGNA |
| 7542373 | Other | NJ | AETNA |
| P2664921 | Other | NJ | OXFORD |
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
Organizations & group practices 1
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.
-
- Registered Dietitian
- Clark, NJ
- NPI 1538361613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447309117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MONTAGUE AVE",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761223",
"telephone_number": "908-322-0025",
"fax_number": "908-322-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 WESTFIELD AVE",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661756",
"telephone_number": "908-322-0025",
"fax_number": "908-322-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMPONIO",
"first_name": "PATRICIA",
"middle_name": "DIANNE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2241935",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2056984003",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7542373",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2664921",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.