Individual provider Active NPI

Dina Ford, RDN

  • Registered Dietitian
  • East Rutherford, NJ
National Provider Identifier
1851659775
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
942839 Issued in NJ
Practice address
341 Railroad Ave
East Rutherford, NJ 07073-1717
Phone
(201) 446-3736
Fax
(201) 438-7174
NPI assigned
Apr 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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 942839 NJ Primary

Addresses

Primary practice location

341 Railroad Ave
East Rutherford, NJ 07073-1717

Mailing address

201 Union Ave
Wood Ridge, NJ 07075-1906
Phone (201) 446-3736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
942839NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Raising the Bar Rehabilitation and Fitness LLC CurrentSince Sep 1, 2012 Accepting new patients

Locations

341 Railroad Ave
East Rutherford, NJ 07073
Phone (201) 438-7189

Organizations & group practices 1

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": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1851659775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751906",
            "telephone_number": "201-446-3736",
            "fax_number": "201-438-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 RAILROAD AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731717",
            "telephone_number": "201-446-3736",
            "fax_number": "201-438-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "DINA",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-28",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "942839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.