Active NPI
Elizabeth Swick, MS, RD
- Registered Dietitian
- Montclair, NJ
National Provider Identifier
1508193384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01022771
- Practice address
- 72 N Willow St
Montclair, NJ 07042-3513 - Phone
- (201) 563-3599
- NPI assigned
- Nov 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 01022771 | NJ | Primary |
Addresses
Primary practice location
72 N Willow St
Montclair, NJ 07042-3513
Mailing address
72 N Willow St
Montclair, NJ 07042-3513
Phone (201) 563-3599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01022771 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1508193384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 N WILLOW ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423513",
"telephone_number": "201-563-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 N WILLOW ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423513",
"telephone_number": "201-563-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWICK",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-16",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "01022771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.