Tina Marinaccio, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

870621 Issued in NJ

Practice address

7 Columbia Tpke
C/O Storch
Florham Park, NJ 07932-2275

Phone

(973) 765-9355

Fax

(973) 765-9366

NPI assigned

Feb 24, 2010

Reactivated

Jan 5, 2022

Last updated

Jan 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Metabolic Care Associates P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Cedar Knolls, NJ
  • NPI 1558978577
  NPD (past)

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1851613491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COLUMBIA TPKE",
            "address_2": "7 COLUMBIA TPKE.",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "07932",
            "telephone_number": "973-765-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COLUMBIA TPKE",
            "address_2": "C/O STORCH",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322275",
            "telephone_number": "973-765-9355",
            "fax_number": "973-765-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINACCIO",
        "first_name": "TINA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "deactivation_date": "2021-09-10",
        "reactivation_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "870621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meg Malkasian, LAC
• Edward Thomas Mann, PHD
• Kimberly Ilen Manzo, MS, RD
• Richard James Marek
• Marilyn a. Kubichek, MD, LLC
• Todd E Markowitz, M.D
• Marlene a. Harmon, PHD, LLC
• Patricia Marlinski, NP
• Maron & Rodrigues Medical Group LLC
• Scott Maron, MD

• Registered Dietitian in Florham Park, NJ
• Providers in Florham Park, 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 Jan 5, 2022; 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.