Medical Nutrition Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA070526 Issued in NJ

Legal business name

MEDICAL NUTRITION ASSOCIATES PA

Practice address

4 Perry St
Morristown, NJ 07960-9447

Phone

(973) 540-1000

Fax

(973) 540-0001

NPI assigned

Feb 19, 2007

Last updated

Aug 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jay J. Graham

Title

Billing Manager

Phone

(973) 432-9014

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25697/brand/1/csg/1/fhir/r4

Practitioners 4

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.

• Carla Dicenzo-Flynn, M.D.

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1114942075
  Medicare reassignment Care Compare group NPD
• Isha Desai Suthar, D.O.

  • Family Medicine Physician
  • Morristown, NJ
  • NPI 1942650098
  Medicare reassignment Care Compare group NPD
• Karla Marie Gabre, RD

  • Registered Dietitian
  • Morristown, NJ
  • NPI 1376774026
  NPD (past)
• Jennifer Ellen Levine-Emdur, MS, RD, CNSC

  • Registered Dietitian
  • New Providence, NJ
  • NPI 1821211442
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1881738235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2227",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079622227",
            "telephone_number": "973-540-1000",
            "fax_number": "973-540-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PERRY ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079609447",
            "telephone_number": "973-540-1000",
            "fax_number": "973-540-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL NUTRITION ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-432-9014",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA070526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryn McNamee-Tweed, CNM
• Lindsey McPhillips, DO
• Kevin J McSherry, MD
• David Joel Medford, MD
• Medical Eye Associates, P.a.
• Diana Medina
• Medpal MD LLC
• Jennifer Meenan, RN, LCSW
• Alyssa Megna
• Bijal Shah Mehta, M.D.

• Internal Medicine Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.