Active NPI
Heather Marino, RD
- Registered Dietitian
- Roselle Park, NJ
National Provider Identifier
1992963771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 898366
- Practice address
- 108 Butler Ave
Roselle Park, NJ 07204-1802 - Phone
- (908) 868-1065
- NPI assigned
- May 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 898366 | NJ | Primary |
Addresses
Primary practice location
108 Butler Ave
Roselle Park, NJ 07204-1802
Mailing address
108 Butler Ave
Roselle Park, NJ 07204-1802
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 898366 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1992963771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BUTLER AVE",
"city": "ROSELLE PARK",
"state": "NJ",
"postal_code": "072041802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 BUTLER AVE",
"city": "ROSELLE PARK",
"state": "NJ",
"postal_code": "072041802",
"telephone_number": "908-868-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "HEATHER",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "898366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roselle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.