Active NPI
Rachel Wilson, RD
- Registered Dietitian
- Oradell, NJ
National Provider Identifier
1568226660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 690 Kinderkamack Rd Ste 202
Oradell, NJ 07649-1524 - Phone
- (201) 523-9205
- NPI assigned
- Feb 8, 2024
- Last updated
- Feb 8, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | NU | ||
| Registered Dietitian | 133V00000X | NU | Primary | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | NU |
Addresses
Primary practice location
690 Kinderkamack Rd Ste 202
Oradell, NJ 07649-1524
Mailing address
17 Montclair Ave Apt 1
Montclair, NJ 07042-4071
Phone (516) 306-6085
Other names 1
- Miss Rachel Wilson
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1568226660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MONTCLAIR AVE APT 1",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424071",
"telephone_number": "516-306-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 KINDERKAMACK RD STE 202",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491524",
"telephone_number": "201-523-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RACHEL",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "WILSON",
"prefix": "MISS",
"credential": "RD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oradell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.