Mariah Marsh Nutrition Services

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MARIAH MARSH NUTRITION SERVICES

Doing business as

Good Roots Nutrition

Practice address

5 W Chestnut Ave
Merchantville, NJ 08109-2309

Phone

(484) 686-3473

Fax

(856) 494-1924

NPI assigned

Apr 18, 2025

Organization subpart

No

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

Authorized official

Name

Mariah Laraio, RD, LDNNPI 1629834833

Title

Owner

Phone

(484) 686-3473

Specialties & licenses 1

Addresses

Other names 1

• Good Roots Nutrition Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariah Laraio, RD

  • Registered Dietitian
  • Audubon, NJ
  • NPI 1629834833

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1851187496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 OAK ST",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061553",
            "telephone_number": "484-686-3473",
            "fax_number": "856-494-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W CHESTNUT AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092309",
            "telephone_number": "484-686-3473",
            "fax_number": "856-494-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAH MARSH NUTRITION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "LARAIO",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-686-3473",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Roots Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charmhee Lee, FNP
• Matt Lobel
• Christine Mac
• Maple Health & Wellness Center, LLC
• Maplewood Treatment Solutions LLC
• David Markowitz, M.D.
• Taliah Mason
• David R McComb, D.O.
• Jill McKay, PT
• Karen Renee McRae

• Registered Dietitian in Merchantville, NJ
• Providers in Merchantville, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.