Individual provider Active NPI

Beverley J Manganelli, R.D., CDE

  • Registered Dietitian
  • Flemington, NJ
National Provider Identifier
1508926650
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
9100 Wescott Dr
Suite 102
Flemington, NJ 08822-4670
Phone
(908) 237-6920
Fax
(908) 237-6922
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

9100 Wescott Dr
Suite 102
Flemington, NJ 08822-4670

Mailing address

2 Nicole LN
Flemington, NJ 08822-4019
Phone (908) 788-0993

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1508926650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NICOLE LN",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224019",
            "telephone_number": "908-788-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WESCOTT DR",
            "address_2": "SUITE 102",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224670",
            "telephone_number": "908-237-6920",
            "fax_number": "908-237-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANELLI",
        "first_name": "BEVERLEY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "R.D., CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.