Individual provider Active NPI

Maggie Milone, NUTRITIONIST

  • Registered Dietitian
  • Springfield, NJ
National Provider Identifier
1609166388
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
007200 Issued in NY
Practice address
420 Morris Ave Ste 1
Springfield, NJ 07081-1149
Phone
(845) 800-3195
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 007200 NY Primary

Addresses

Primary practice location

420 Morris Ave Ste 1
Springfield, NJ 07081-1149

Mailing address

111 Bryant Ave
Springfield, NJ 07081-1615
Phone (845) 800-3195

Other practice location 1

111 Bryant Ave
Springfield, NJ 07081-1615
Phone (845) 800-3195

Other practice location 2

1065 Southern Blvd
Bronx, NY 10459-2417
Phone (718) 589-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110715000353 NY Practitioner - Registered Dietitian Or Nutrition Professional 9234307349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007200NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Health Plan, Inc. CurrentSince Jun 6, 2011 Accepting new patients
Urban Health Plan, Inc. CurrentSince Jun 6, 2011 Accepting new patients
Urban Health Plan, Inc. Current Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

1515 Southern Blvd
Bronx, NY 10460
Phone (718) 589-1600

1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222

1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1609166388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BRYANT AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811615",
            "telephone_number": "845-800-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MORRIS AVE STE 1",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811149",
            "telephone_number": "845-800-3195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Bryant Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "NJ",
            "postal_code": "070811615",
            "country_code": "US",
            "telephone_number": "845-800-3195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104592417",
            "country_code": "US",
            "telephone_number": "718-589-2440",
            "fax_number": "718-991-4516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILONE",
        "first_name": "MAGGIE",
        "credential": "NUTRITIONIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.