Individual provider Active NPI

Deana Marie Rodriguez, RDN

  • Registered Dietitian
  • Paramus, NJ
National Provider Identifier
1811461650
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
849558 Issued in NJ
Practice address
140 E. Ridgewood Avenue
Suite 415 C/O Office 466 Maher Financial Group
Paramus, NJ 07652
Phone
(201) 720-1900
Fax
(201) 367-3779
NPI assigned
Jan 15, 2019
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 849558 NJ Primary

Addresses

Primary practice location

140 E. Ridgewood Avenue
Suite 415 C/O Office 466 Maher Financial Group
Paramus, NJ 07652

Mailing address

688 Seagull Drive
Paramus, NJ 07652-4944
Phone (201) 960-9636

Other identifiers 2

IdentifierTypeStateIssuer
862384012MedicaidNJ
849558OtherNJREGISTERED DIETITIAN

Other names 1

  • Ms. Deana Marie Callaham Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://yourfoodnutritioncoach.clientsecure.me/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210409000014 NJ Practitioner - Registered Dietitian Or Nutrition Professional 8921416041 Reassigns benefits to 2 organizations
I20250317001992 FL Practitioner - Registered Dietitian Or Nutrition Professional 8921416041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
849558NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC CurrentSince Jul 24, 2023 Accepting new patients
KTR Wellness, LLC Current Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

420 Grand Ave
Ste 101
Englewood, NJ 07631
Phone (201) 569-7044

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

700 Kinderkamack Rd
Ste 301
Oradell, NJ 07649
Phone (201) 614-1900

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Organizations & group practices 6

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1811461650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 SEAGULL DRIVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524944",
            "telephone_number": "201-960-9636",
            "fax_number": "201-881-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E. RIDGEWOOD AVENUE",
            "address_2": "SUITE 415 C/O OFFICE 466 MAHER FINANCIAL GROUP",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-720-1900",
            "fax_number": "201-367-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DEANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "849558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "862384012",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "849558",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://yourfoodnutritioncoach.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "simple practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange- Simple Practice",
            "address_1": "688 Seagull Dr",
            "city": "Paramus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076524944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEANA",
            "last_name": "CALLAHAM",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.