Individual provider Active NPI

Maria Lynn Emerick, RDN, LDN

  • Registered Dietitian
  • Allentown, PA
National Provider Identifier
1457092827
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN007278 Issued in OH
Practice address
6750 Iroquois TRL Ste 12
Allentown, PA 18104-8644
Phone
(610) 395-9595
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DN007278 OH Primary

Addresses

Primary practice location

6750 Iroquois TRL Ste 12
Allentown, PA 18104-8644

Mailing address

6750 Iroquois TRL Ste 12
Allentown, PA 18104-8644
Phone (610) 395-9595

Other identifiers 1

IdentifierTypeStateIssuer
86110202OtherOHCOMMISSION ON DIETETIC REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230709000054 PA Practitioner - Registered Dietitian Or Nutrition Professional 6002275070
I20240627001423 HI Practitioner - Registered Dietitian Or Nutrition Professional 6002275070 Reassigns benefits to 4 organizations

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
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1380 Lusitana St
Honolulu, HI 96813-2448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN007278OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Queen'S Medical Center Single Specialty Current Accepting new patients
Queens University Medical Group Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Primary Care Physician Enterprise LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
The Queen'S Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Forward Thinking Fitness LLC Dietitian, Registered CurrentSince Apr 10, 2022 Accepting new patients
The Queens Medical Center CurrentSince Nov 1, 2024 Accepting new patients
The Queens Medical Center - Progressive Care Unit Past Accepting new patients

Locations

91-6390 Kapolei Pkwy
Ste 200
Ewa Beach, HI 96706
Phone (612) 802-2986

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1380 Lusitana St
Ste 300
Honolulu, HI 96813
Phone (808) 691-4202

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1215 Hunakai St
Honolulu, HI 96816
Phone (808) 686-4200

6750 Iroquois Trl
Ste 12
Allentown, PA 18104
Phone (610) 395-9595

Organizations & group practices 8

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1457092827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 IROQUOIS TRL STE 12",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048644",
            "telephone_number": "610-395-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 IROQUOIS TRL STE 12",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048644",
            "telephone_number": "610-395-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERICK",
        "first_name": "MARIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "DN007278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86110202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.