Individual provider Active NPI

Mary Christina Friesz, PHD, RD, CDCES

  • Registered Dietitian
  • Bridgewater, NJ
National Provider Identifier
1790833929
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
714113 Issued in NJ
Practice address
1200 Route 22 Ste 2000
Bridgewater, NJ 08807-2943
Phone
(954) 296-6300
Fax
(908) 450-6236
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 714113 NJ Primary

Addresses

Primary practice location

1200 Route 22 Ste 2000
Bridgewater, NJ 08807-2943

Mailing address

10 Nursery LN
Middlesex, NJ 08846-1572
Phone (954) 296-6300

Other practice location 1

67 Walnut Ave Ste 202
Clark, NJ 07066-1640
Phone (908) 228-3676

Other practice location 2

10 Nursery Ln
Middlesex, NJ 08846-1572
Phone (954) 296-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141230000586 NJ Practitioner - Registered Dietitian Or Nutrition Professional 2567434004 Reassigns benefits to 1 organization
Practice locations: Bridgewater, NJ

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

1200 Route 22
Suite 2000
Bridgewater, NJ 08807-2943
Phone (954) 296-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Nov 13, 2014 Accepting new patients
Summit Medical Group PA CurrentSince Nov 13, 2014 Accepting new patients
Summit Medical Group, Inc Dietitian, Registered Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

67 Walnut Ave
Ste 202
Clark, NJ 07066
Phone (732) 388-7300

67 Walnut Ave
Clark, NJ 07066
Phone (732) 388-7300

Interoperability endpoints

  • Direct secure messaging: mary.friesz.1@2983.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1790833929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NURSERY LN",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461572",
            "telephone_number": "954-296-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROUTE 22 STE 2000",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072943",
            "telephone_number": "954-296-6300",
            "fax_number": "908-450-6236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Walnut Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661640",
            "country_code": "US",
            "telephone_number": "908-228-3676",
            "fax_number": "908-654-4044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Nursery Ln",
            "address_purpose": "LOCATION",
            "city": "Middlesex",
            "state": "NJ",
            "postal_code": "088461572",
            "country_code": "US",
            "telephone_number": "954-296-6300",
            "fax_number": "908-450-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIESZ",
        "first_name": "MARY",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "PHD, RD, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-11-09",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "714113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.

Verify at the official NPI Registry.