Kathleen Ann Garriques, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

720234 Issued in NJ

Practice address

11 Riverview Ave
Columbia, NJ 07832-2030

Phone

(908) 475-2498

Fax

(908) 475-2498

NPI assigned

Jan 30, 2014

Last updated

Jan 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Care Partners, LLC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1083900526

  Dietitian, Registered

  NPD
• Primary Care Partners, LLC

  dba Internal Medicine of Vernon-Primary Care Partners Affiliate

  • Internal Medicine Physician
  • Vernon, NJ
  • NPI 1508297680
  NPD
• Primary Care Partners, LLC

  dba Eastern Vascular Associates- Primary Care Partners Affiliate

  • Internal Medicine Physician
  • Denville, NJ
  • NPI 1710267562
  NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1639592322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RIVERVIEW AVE",
            "city": "COLUMBIA",
            "state": "NJ",
            "postal_code": "078322030",
            "telephone_number": "908-475-2498",
            "fax_number": "908-475-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RIVERVIEW AVE",
            "city": "COLUMBIA",
            "state": "NJ",
            "postal_code": "078322030",
            "telephone_number": "908-475-2498",
            "fax_number": "908-475-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIQUES",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NJ",
            "license": "720234",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "720234",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NJ",
            "license": "720234",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NJ",
            "license": "720234",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NJ",
            "license": "720234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clover Rest Home Inc
• Eugene A. Cullen, M.D.
• Michelina Desanti, D.O.
• Roma Rosas Dizon
• Lauren Nicole Frick, LAT, ATC
• Jennifer Giordano, RBT
• Anthony Greenberg, M.D.
• Louis James Haberman, CPO / LPO
• Krysta Anne Harajda
• Manoucheka Jean, FNP

• Registered Dietitian in Columbia, NJ
• Providers in Columbia, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.