Jill M McCormick, M.S., R.D., L.D.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN005223 Issued in PA

Practice address

445 Marshall St
Suite 147
Phillipsburg, NJ 08865-2695

Phone

(908) 319-4339

Fax

(908) 718-7646

NPI assigned

Feb 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jill McMurtrie Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Jill McCormick Nutrition LLC

  • Registered Dietitian
  • Phillipsburg, NJ
  • NPI 1265968101

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1477091130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 ARBOR DR",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088862324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MARSHALL ST",
            "address_2": "SUITE 147",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652695",
            "telephone_number": "908-319-4339",
            "fax_number": "908-718-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "M.S., R.D., L.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MCMURTRIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Anthony Matlock, D.C.
• Rebecca Marie Matlock, D.C.
• James W Mattison Jr., D.C.
• Danielle Maurice, PT, DPT
• Vanessa L Mavrode, PT, DPT
• Maureen McCoy, BA
• William Steven McEwen, RPH
• Thomas McGinley, M.D.
• Daria Malinchak McPhee, MS, ACSW, LCSW
• Kristi M Mecca, OTR

• Registered Dietitian in Phillipsburg, NJ
• Providers in Phillipsburg, 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 May 1, 2017; 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.

Verify at the official NPI Registry.