Active NPI
Radwa Nassar, RDN
- Registered Dietitian
- Ocean, NJ
National Provider Identifier
1962047324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86093221
- Practice address
- 50 Maidenstone Dr
Ocean, NJ 07712-3783 - Phone
- (848) 391-0360
- NPI assigned
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86093221 | NJ | Primary |
Addresses
Primary practice location
50 Maidenstone Dr
Ocean, NJ 07712-3783
Mailing address
50 Maidenstone Dr
Ocean, NJ 07712-3783
Phone (848) 391-0360
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86093221 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1962047324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MAIDENSTONE DR",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077123783",
"telephone_number": "848-391-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MAIDENSTONE DR",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077123783",
"telephone_number": "848-391-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSAR",
"first_name": "RADWA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86093221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.