Individual provider Active NPI

Mariam Abid, RDN

  • Registered Dietitian
  • East Brunswick, NJ
National Provider Identifier
1861138059
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86198720 Issued in NJ
Practice address
85 Tices LN Apt 81
East Brunswick, NJ 08816-2170
Phone
(732) 997-9893
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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 86198720 NJ Primary

Addresses

Primary practice location

85 Tices LN Apt 81
East Brunswick, NJ 08816-2170

Mailing address

85 Tices LN Apt 81
East Brunswick, NJ 08816-2170
Phone (732) 997-9893

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gutfuelingrdn@gmail.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86198720NJMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1861138059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 TICES LN APT 81",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162170",
            "telephone_number": "732-997-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 TICES LN APT 81",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162170",
            "telephone_number": "732-997-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABID",
        "first_name": "MARIAM",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86198720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gutfuelingrdn@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email address associated with private practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "85 Tices Ln Apt 81",
            "city": "East Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088162170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.