Organization Active NPI

New Moon Nutrition, LLC

  • Registered Dietitian
  • East Bridgewater, MA
National Provider Identifier
1548924624
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NEW MOON NUTRITION, LLC
Practice address
30 Surrey LN
East Bridgewater, MA 02333-3109
Phone
(084) 443-4262
Fax
(508) 233-2178
NPI assigned
Oct 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Meghan Kacmarcik, RD, LDN
Title
Owner & Registered Dietitian
Phone
(508) 443-4262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

30 Surrey LN
East Bridgewater, MA 02333-3109

Mailing address

319 Centre Ave # 255
Rockland, MA 02370-2613
Phone (508) 443-4262

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1548924624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 CENTRE AVE # 255",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023702613",
            "telephone_number": "508-443-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SURREY LN",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023333109",
            "telephone_number": "084-443-4262",
            "fax_number": "508-233-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOON NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "KACMARCIK",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OWNER & REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "508-443-4262",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.