Marylou Fernandes, RDN
Individual provider Active NPI Registered Dietitian · Middlesex, NJ
NPI 1558028118 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1558028118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 73 Gramercy GDNS
Middlesex, NJ 08846-1687 - Phone
- (908) 821-8684
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NJ | Yes |
Addresses
Primary practice location
73 Gramercy GDNS
Middlesex, NJ 08846-1687
Mailing address
73 Gramercy GDNS
Middlesex, NJ 08846-1687
Phone (908) 821-8684
Other providers in Middlesex, NJ
- Patience Enabosi
- Beverly Eschbach
- Eyedocs USA LLC
- John Julius Fahsbender III
- Adam Fan
- Juliann Fischer
- James Foote
- Diana Ibrahim Fransis
- Edmond Gashi
- General Health Services
All providers in Middlesex, NJ · Registered Dietitian in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.