Organization Active NPI

Your Food Nutrition Coach, LLC

  • Registered Dietitian
  • Paramus, NJ
National Provider Identifier
1487249876
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Mrs. Deana Marie Rodriguez, RDNNPI 1811461650
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Gerontological Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1101X
Obesity and Weight Management Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
SOAP URL https://yourfoodnutritioncoach.clientsecure.me/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210409000000 NJ Part B Supplier - Clinic/Group Practice 6103234216 Receives reassigned benefits from 1 practitioner
Practice locations: Paramus, NJ
O20250317001860 FL Part B Supplier - Clinic/Group Practice 6103234216 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.