Individual provider Active NPI

Soledad Hearon, R.D.N.

  • Registered Dietitian
  • Weehawken, NJ
National Provider Identifier
1750661955
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
999586 Issued in NJ
Practice address
407 Gregory Ave
Weehawken, NJ 07086-5601
Phone
(201) 325-0151
Fax
(201) 325-0152
NPI assigned
Aug 19, 2011
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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 999586 NJ Primary

Addresses

Primary practice location

407 Gregory Ave
Weehawken, NJ 07086-5601

Mailing address

PO Box 484
Union City, NJ 07087-0484
Phone (201) 325-0151

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

State licenses

LicenseStateTypeSpecialty
999586NJMDRegistered Dietitian

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1750661955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070870484",
            "telephone_number": "201-325-0151",
            "fax_number": "201-325-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 GREGORY AVE",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070865601",
            "telephone_number": "201-325-0151",
            "fax_number": "201-325-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARON",
        "first_name": "SOLEDAD",
        "name_prefix": "Mrs.",
        "credential": "R.D.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "999586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weehawken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.