Active NPI
Kirsten Marquez, RD, LD/N, CNSC
- Registered Dietitian
- Watchung, NJ
National Provider Identifier
1689961641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND3796
- Practice address
- 1515 Route 22 W Ste 30
#1074
Watchung, NJ 07069-6516 - Phone
- (772) 932-1835
- NPI assigned
- Jun 28, 2011
- Last updated
- May 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 | ND3796 | FL | Primary |
Addresses
Primary practice location
1515 Route 22 W Ste 30
#1074
Watchung, NJ 07069-6516
Mailing address
4 Sunny Slope Dr
Warren, NJ 07059-7140
Phone (772) 932-1835
Other practice location 1
4 Sunny Slope Dr
Warren, NJ 07059-7140
Phone (772) 932-1835
Other practice location 2
2500 N Federal Hwy Apt 115
Boca Raton, FL 33431-7723
Phone (772) 932-1835
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 |
|---|---|---|---|
| ND3796 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1689961641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SUNNY SLOPE DR",
"city": "WARREN",
"state": "NJ",
"postal_code": "070597140",
"telephone_number": "772-932-1835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 ROUTE 22 W STE 30",
"address_2": "#1074",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070696516",
"telephone_number": "772-932-1835"
}
],
"practiceLocations": [
{
"address_1": "4 Sunny Slope Dr",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "NJ",
"postal_code": "070597140",
"country_code": "US",
"telephone_number": "772-932-1835",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 N Federal Hwy Apt 115",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334317723",
"country_code": "US",
"telephone_number": "772-932-1835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARQUEZ",
"first_name": "KIRSTEN",
"credential": "RD, LD/N, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2024-05-30",
"certification_date": "2024-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND3796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watchung, NJ
- Main Street Psychology (Dawson Psychological Services)
- Ghassan Makhoul, MD
- Stanley Malkin
- Durgesh Mankikar, M.D.
- Jaman Maroni, M.D.
- Homar A Martinez, MD
- Christina Marie Maxwell
- McAuley Hall Inc
- Maureen E. McCleery, OD
- Medexpress Urgent Care - Northern New Jersey, PC (MedExpress Urgent Care - Watchung)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.