Individual provider Active NPI

Maureen Christina Heilmann, RDN, CDCES

  • Registered Dietitian
  • Sea Girt, NJ
National Provider Identifier
1588399331
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
635851 Issued in NY
Practice address
2156 Evergreen Ave
Sea Girt, NJ 08750-1704
Phone
(732) 796-8040
NPI assigned
Jul 17, 2022
Last updated
Jul 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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 635851 NY Primary

Addresses

Primary practice location

2156 Evergreen Ave
Sea Girt, NJ 08750-1704

Mailing address

2156 Evergreen Ave
Sea Girt, NJ 08750-1704
Phone (732) 796-8040

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

State licenses

LicenseStateTypeSpecialty
635851NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1588399331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 EVERGREEN AVE",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501704",
            "telephone_number": "732-796-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 EVERGREEN AVE",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501704",
            "telephone_number": "732-796-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILMANN",
        "first_name": "MAUREEN",
        "middle_name": "CHRISTINA",
        "credential": "RDN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-17",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "635851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; 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.