Individual provider Active NPI

Nicole Briana Mash, MS, RD, CDN

  • Registered Dietitian
  • Clifton, NJ
National Provider Identifier
1740526581
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
007174 Issued in NY
Practice address
743 Passaic Ave Ste 449
Clifton, NJ 07012-1826
Phone
(607) 972-1248
NPI assigned
Dec 26, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 007174 NY Primary

Addresses

Primary practice location

743 Passaic Ave Ste 449
Clifton, NJ 07012-1826

Mailing address

743 Passaic Ave Ste 449
Clifton, NJ 07012-1826
Phone (607) 972-1248

Other practice location 1

92 Summit Ave
Hackensack, NJ 07601-1263
Phone (201) 342-0066

Other practice location 2

27 Park Ave
Fifth Floor
Binghamton, NY 13903-1605
Phone (607) 762-2251

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC Past Accepting new patients

Organizations & group practices 1

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740526581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 PASSAIC AVE STE 449",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121826",
            "telephone_number": "607-972-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 PASSAIC AVE STE 449",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121826",
            "telephone_number": "607-972-1248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011263",
            "country_code": "US",
            "telephone_number": "201-342-0066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Park Ave",
            "address_2": "Fifth Floor",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139031605",
            "country_code": "US",
            "telephone_number": "607-762-2251",
            "fax_number": "607-762-2269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASH",
        "first_name": "NICOLE",
        "middle_name": "BRIANA",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.