Marissa Ann Hellermann, RDN
Individual provider Active NPI Registered Dietitian · Roseland, NJ
NPI 1609596212 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1609596212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86290986 (NY)
- Practice address
- 36 Cooper Ave
Roseland, NJ 07068-1628 - Phone
- (201) 252-7322
- NPI assigned
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86290986 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Medical and Health Associates,LLC | Current |
Accepting new patients |
Locations
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86290986 | NY | Yes |
Addresses
Primary practice location
36 Cooper Ave
Roseland, NJ 07068-1628
Mailing address
315 15TH St Apt 1012
Jersey City, NJ 07310-1059
Phone (631) 405-9909
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Officeally.com | Direct |
Other providers in Roseland, NJ
- Harold Green
- Jeffrey Hall
- Sabrina Hammond
- Graham Jeffrey Hartke
- Healthy Habitats, LLC
- Carrie Hennessy
- High Point Physical Therapy LP
- Jennifer Hoehn
- Hsnnj Chiro PC
- Infectious Disease Associates
All providers in Roseland, 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 Sep 1, 2022. 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.