Michelle Salva Patellis, R.D., C.N.S.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

951808 Issued in NJ

Practice address

210 Main St
Madison, NJ 07940-2285

Phone

(973) 377-6700

NPI assigned

Mar 20, 2009

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Madison Medical and Sports Rehabilitation L.L.C

  • Sports Physician Chiropractor
  • Madison, NJ
  • NPI 1992730253
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238198400000",
    "number": "1942441910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402285",
            "telephone_number": "520-603-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402285",
            "telephone_number": "973-377-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATELLIS",
        "first_name": "MICHELLE",
        "middle_name": "SALVA",
        "credential": "R.D., C.N.S.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "951808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Panagos-Felice, M.A.P.T.
• Soo Kyeong Park, DENTIST(DMD)
• Maria E Parrella, D.D.S.
• Traian Parvulescu, MD
• Madeline Paske Baulig, MSW, LCSW
• Paul Naftali O D P a
• Kayla Payne
• Pelvic Balance Wellness
• Pelvic Health Inc
• Pine Acres Convalescent Center, Inc.

• Registered Dietitian in Madison, NJ
• Providers in Madison, 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 Mar 28, 2009; 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.