Michael John Carroll, MS, RDN - Medicare Dietitian in East Rutherford, NJ

  1. Home
  2. Dietitians
  3. NJ
  4. East Rutherford
Michael John Carroll, MS, RDN is a medicare enrolled "Dietitian, Registered" provider in East Rutherford, New Jersey. His current practice location is 276 Randolph Ave, East Rutherford, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 739-5023.

Michael John Carroll is licensed to practice in New Jersey (license number 86101508) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114485919.

Contact Information

Michael John Carroll, MS, RDN
276 Randolph Ave,
East Rutherford, NJ 07073-1345
(201) 739-5023
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMichael John Carroll
GenderMale
SpecialityDietitian, Registered
Location276 Randolph Ave, East Rutherford, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114485919
  • Provider Enumeration Date: 03/11/2019
  • Last Update Date: 08/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4183952237
  • Enrollment ID: I20190827002948

Medical Identifiers

Medical identifiers for Michael John Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114485919NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 86101508 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael John Carroll allows following entities to bill medicare on his behalf.
Provider NameHackensack Meridian Health Medical Group - Specialty Care Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524
Provider NameHackensack Meridian Health Medical Group - Complex Care Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1154379626
PECOS PAC ID: 0446272298
Enrollment ID: O20060109000000

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael John Carroll is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael John Carroll, MS, RDN
276 Randolph Ave,
East Rutherford, NJ 07073-1345

Ph: (201) 739-5023		Michael John Carroll, MS, RDN
276 Randolph Ave,
East Rutherford, NJ 07073-1345

Ph: (201) 739-5023

Reviews and Comments


Dietitian, Registered in East Rutherford, NJ

Professional Advantage Nutrition And Fitness, Llc
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 341 Railroad Ave, East Rutherford, NJ 07073
Phone: 201-446-3736    Fax: 201-438-7174
Mrs. Dina Ford, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 341 Railroad Ave, East Rutherford, NJ 07073
Phone: 201-446-3736    Fax: 201-438-7174

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.