Active NPI
Dara Ledwitz, RD
- Registered Dietitian
- Red Bank, NJ
National Provider Identifier
1598472367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 086326958
- Practice address
- 258 Broad St Ste 4
Red Bank, NJ 07701-2036 - Phone
- (732) 784-8378
- NPI assigned
- Nov 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 086326958 | NJ | Primary |
Addresses
Primary practice location
258 Broad St Ste 4
Red Bank, NJ 07701-2036
Mailing address
1218 W Park Ave
Ocean, NJ 07712-7222
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
| License | State | Type | Specialty |
|---|---|---|---|
| 086326958 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Falco, RDN, Inc | Dietitian, Registered | Current | Accepting new patients |
Locations
258 Broad St
Ste 4
Red Bank, NJ 07701
Phone (732) 784-8348
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1598472367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 W PARK AVE",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077127222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 BROAD ST STE 4",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077012036",
"telephone_number": "732-784-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDWITZ",
"first_name": "DARA",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "086326958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.