Active NPIIndividual providerSole proprietor

Marylou Fernandes, RDN

Dietitian, Registered in Rockaway, New Jersey

NPI Number1558028118
Practice location
25 Pine St, Rockaway, NJ 07866-3143
Fax
—
Last updated
November 10, 2026

Marylou Fernandes is a Dietitian, Registered based in Rockaway, NJ. Marylou Fernandes practices in Rockaway, NJ and has the professional credentials of RDN. The NPI Number for Marylou Fernandes is 1558028118. The current practice location address for Marylou Fernandes is 25 Pine St, Rockaway, NJ 07866-3143 and can be reached out via phone at 908-821-8684.

Provider Profile Details

NPI Number
1558028118
Provider Name
Marylou Fernandes
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
25 Pine St, Rockaway, NJ 07866-3143
Phone Number
908-821-8684
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 18, 2021
Last Update Date
November 10, 2026
Certification Date
November 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Pine St
Rockaway, NJ 07866-3143
Zip
07866-3143
Phone Number
908-821-8684
Rockaway, NJ 07866Get directions →

Provider Business Mailing Address Details

Address
25 Pine St
Rockaway, NJ 07866-3143
City
Rockaway
State
NJ
Zip
07866-3143

License Information

License State
NJ
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marylou Fernandes, RDN?

The NPI number of Marylou Fernandes, RDN is 1558028118. It was assigned on November 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Marylou Fernandes, RDN?

Marylou Fernandes, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Marylou Fernandes, RDN practice?

The practice location is 25 Pine St, Rockaway, NJ 07866-3143. The office can be reached at 908-821-8684 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558028118 directly on the NPPES registry website.

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