Active NPI
Your Food Nutrition Coach, LLC
- Registered Dietitian
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- YOUR FOOD NUTRITION COACH, LLC
- Practice address
- 140 E Ridgewood Ave Ste 415
Paramus, NJ 07652-3915 - Phone
- (201) 720-1900
- Fax
- (201) 367-3779
- NPI assigned
- Mar 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deana Marie Rodriguez, RDN
- Title
- Owner
- Phone
- (201) 614-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Gerontological Nutrition Registered Dietitian | 133VN1101X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X |
Addresses
Primary practice location
140 E Ridgewood Ave Ste 415
Paramus, NJ 07652-3915
Mailing address
688 Seagull Drive
Paramus, NJ 07652-4944
Phone (201) 960-9636
Other practice location 1
688 Seagull Dr
Paramus, NJ 07652-4944
Phone (201) 614-1900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://yourfoodnutritioncoach.clientsecure.me/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
700 Kinderkamack Rd
Ste 301
Oradell, NJ 07649
Phone (201) 614-1900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Paramus, NJ
- NPI 1659029734
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721174400000",
"number": "1487249876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688 SEAGULL DRIVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524944",
"telephone_number": "201-960-9636",
"fax_number": "201-881-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E RIDGEWOOD AVE STE 415",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523915",
"telephone_number": "201-720-1900",
"fax_number": "201-367-3779"
}
],
"practiceLocations": [
{
"address_1": "688 Seagull Dr",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076524944",
"country_code": "US",
"telephone_number": "201-614-1900",
"fax_number": "201-608-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "YOUR FOOD NUTRITION COACH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-08",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "DEANA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-614-1900",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://yourfoodnutritioncoach.clientsecure.me/",
"affiliation": "N",
"endpointDescription": "emr",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "emr",
"address_1": "688 Seagull Dr",
"city": "Paramus",
"state": "NJ",
"country_code": "US",
"postal_code": "076524944",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.