Carol Marie Mateo, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

21 Sunset LN
Upper Saddle River, NJ 07458-2026

Phone

(201) 783-9718

NPI assigned

Aug 6, 2019

Last updated

Aug 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1467007567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SUNSET LN",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582026",
            "telephone_number": "201-783-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SUNSET LN",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582026",
            "telephone_number": "201-783-9718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Lower North Shore Rd",
            "address_purpose": "LOCATION",
            "city": "Branchville",
            "state": "NJ",
            "postal_code": "078264083",
            "country_code": "US",
            "telephone_number": "201-783-9718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATEO",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Upper Saddle River, NJ
• Providers in Upper Saddle River, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.