Michael Robert Maher, RD, MS, CDN, CSR

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

010753-01 Issued in NY

Practice address

282 Park Ave
Merrick, NY 11566-2845

Phone

(631) 875-0672

NPI assigned

Feb 9, 2020

Last updated

Dec 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Michael Maher Dietetics

  • Registered Dietitian
  • Merrick, NY
  • NPI 1376314120
  Authorized official Same address or phone

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1720610678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 PARK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662845",
            "telephone_number": "631-875-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 PARK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662845",
            "telephone_number": "631-875-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "RD, MS, CDN, CSR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-09",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010753-01",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NY",
            "license": "010753-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Wendy Lynn, M.A.,CCC
• Jessica Mack, OTR/L
• Daniel J Madden
• Michelle Frances Maggio, L.AC.
• Danielle Maggiotta, B.A.
• John Tsambikos Mahramas
• Helene M Mair, PH.D.
• Sunny Makhijani
• Stella Maksumova, RPH
• Marcia Malis, PT

• Registered Dietitian in Merrick, NY
• Providers in Merrick, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.