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MADALYN DIABETES NUTRITION LLC
NPI 1639839087
Dietitian, Registered in Montclair, NJ

Active since December 27, 2021
18-20 LACKAWANNA PLZ STE 200, MONTCLAIR, NJ 07042(862) 262-8326(973) 333-4070 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 19, 2022, Feb 28, 2022, Dec 27, 2021 (3 updates tracked since 2021).

About Madalyn Diabetes Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADALYN DIABETES NUTRITION LLC (NPI 1639839087) is a healthcare organization registered as a dietitian, registered in Montclair, New Jersey and active in the NPI registry since December 2021. The organization lists Madalyn Vasquez, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1639839087
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameMADALYN DIABETES NUTRITION LLC
Location Address18-20 LACKAWANNA PLZ STE 200Montclair, NJ 07042-3642
Mailing Address459 6th AvePaterson, NJ 07514-2282 · (862) 262-8326
Phone(862) 262-8326
Fax(973) 333-4070
Organization SubpartNo
Authorized OfficialMadalyn VasquezRegistered Dietitian · (862) 262-8326
Enumeration DateDecember 27, 2021
Last NPPES UpdateApril 19, 20223 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1639839087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
18-20 LACKAWANNA PLZ STE 200, Montclair, NJ 07042
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madalyn Diabetes Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Madalyn Diabetes Nutrition LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Madalyn Vasquez, RD
Registered Dietitian or Nutrition Professional
NPI 1457824120
870 PALISADE AVE
Teaneck, NJ 07666
(201) 836-5655
✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madalyn Diabetes Nutrition LLC's NPI number?

The NPI number for Madalyn Diabetes Nutrition LLC is 1639839087. It was assigned to this organization in the NPPES registry on December 27, 2021.

Where is Madalyn Diabetes Nutrition LLC located?

Madalyn Diabetes Nutrition LLC is located at 18-20 Lackawanna Plz Ste 200, Montclair, NJ 07042. The listed phone number is (862) 262-8326.

What is Madalyn Diabetes Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Madalyn Diabetes Nutrition LLC enrolled in Medicare?

Yes. Madalyn Diabetes Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madalyn Diabetes Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Madalyn Diabetes Nutrition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Madalyn Diabetes Nutrition LLC was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.