Active NPI
Deana Marie Rodriguez, RDN
- Registered Dietitian
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 849558
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 862384012 | Medicaid | NJ | |
| 849558 | Other | NJ | REGISTERED DIETITIAN |
Other names 1
- Ms. Deana Marie Callaham
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://yourfoodnutritioncoach.clientsecure.me/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 849558 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Digestive Health, LLC | Current | 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.
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
-
- Clinic/Center
- Paramus, NJ
- NPI 1982292249
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.