Active NPI
Marqueline Val
- Registered Dietitian
- Orange, NJ
National Provider Identifier
1679334007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1103831
- Practice address
- 722 Scotland Rd
Orange, NJ 07050-1141 - Phone
- (973) 380-7294
- NPI assigned
- Jan 22, 2024
- 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 | 1103831 | NJ | Primary |
Addresses
Primary practice location
722 Scotland Rd
Orange, NJ 07050-1141
Mailing address
722 Scotland Rd
Orange, NJ 07050-1141
Phone (973) 380-7294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 Central Ave
Newark, NJ 07102-1909
66 Ford Rd
Suite 220
Denville, NJ 07834-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1103831 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Avenue Professional Services, PC | Current | Accepting new patients | |
| Mavital Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
Organizations & group practices 2
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Newark, NJ
- NPI 1447649694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1679334007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 SCOTLAND RD",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070501141",
"telephone_number": "973-380-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 SCOTLAND RD",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070501141",
"telephone_number": "973-380-7294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAL",
"first_name": "MARQUELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "1103831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.