Active NPI
Madeline C Cicero, MS RD
- Registered Dietitian
- Morristown, NJ
National Provider Identifier
1457307647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 709515
- Practice address
- 75 Sherwood Driv
Morristown, NJ 07960 - Phone
- (973) 538-7791
- Fax
- (973) 538-7566
- NPI assigned
- May 26, 2006
- 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 | 709515 | NJ | Primary |
Addresses
Primary practice location
75 Sherwood Driv
Morristown, NJ 07960
Mailing address
15 Exeter LN
Morristown, NJ 07960-6382
Phone (973) 538-7791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050726000824 | NJ | Practitioner - Registered Dietitian Or Nutrition Professional | 6002843547 | Practice locations: Morristown, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 709515 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Jersey Nutrition | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1457307647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 EXETER LN",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606382",
"telephone_number": "973-538-7791",
"fax_number": "973-538-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SHERWOOD DRIV",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "07960",
"telephone_number": "973-538-7791",
"fax_number": "973-538-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICERO",
"first_name": "MADELINE",
"middle_name": "C",
"credential": "MS RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "709515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.