Active NPI
Natalie Y Roberts-Moore, MS, RD
- Registered Dietitian
- East Orange, NJ
National Provider Identifier
1528264462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 930537
- Practice address
- 108 S Munn Ave
East Orange, NJ 07018-3402 - Phone
- (973) 674-8100
- NPI assigned
- Jun 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 930537 | NJ | Primary |
Addresses
Primary practice location
108 S Munn Ave
East Orange, NJ 07018-3402
Mailing address
229 Goldsmith Ave
Newark, NJ 07112-1718
Phone (973) 230-0968
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 |
|---|---|---|---|
| 930537 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528264462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 GOLDSMITH AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071121718",
"telephone_number": "973-230-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S MUNN AVE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070183402",
"telephone_number": "973-674-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS-MOORE",
"first_name": "NATALIE",
"middle_name": "Y",
"name_prefix": "Mrs.",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "930537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.