Active NPI
Nicholas David Mosakowski, RDN
- Registered Dietitian
- King of Prussia, PA
National Provider Identifier
1912523374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 150 S Warner Rd Ste 130
King of Prussia, PA 19406-2826 - Phone
- (610) 635-9942
- Fax
- (944) 689-1175
- NPI assigned
- Jun 22, 2020
- Last updated
- May 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | NU |
Addresses
Primary practice location
150 S Warner Rd Ste 130
King of Prussia, PA 19406-2826
Mailing address
117 Mahogany LN
King of Prussia, PA 19406-2299
Phone (610) 635-9942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 S Warner Rd
Suite 130
King of Prussia, PA 19406-2826
Phone (610) 635-9942
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- King of Prussia, PA
- NPI 1780200147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714780800000",
"number": "1912523374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MAHOGANY LN",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062299",
"telephone_number": "610-635-9942",
"fax_number": "866-492-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S WARNER RD STE 130",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062826",
"telephone_number": "610-635-9942",
"fax_number": "944-689-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSAKOWSKI",
"first_name": "NICHOLAS",
"middle_name": "DAVID",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-22",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.