Nicole Lyn Hallissey, RDN - Medicare Dietitian in Mahwah, NJ

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Nicole Lyn Hallissey, RDN is a medicare enrolled "Dietitian, Registered" provider in Mahwah, New Jersey. Her current practice location is 7 Brook St, Mahwah, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 264-2251.

Nicole Lyn Hallissey is licensed to practice in New York (license number 008173) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619514783.

Contact Information

Nicole Lyn Hallissey, RDN
7 Brook St,
Mahwah, NJ 07430-1103
(201) 264-2251
(347) 348-0734

Map and Direction




Healthcare Provider's Profile

Full NameNicole Lyn Hallissey
GenderFemale
SpecialityDietitian, Registered
Location7 Brook St, Mahwah, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619514783
  • Provider Enumeration Date: 12/07/2019
  • Last Update Date: 12/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193152726
  • Enrollment ID: I20200220002341

Medical Identifiers

Medical identifiers for Nicole Lyn Hallissey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619514783NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 008173 (New York)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. Nicole Lyn Hallissey allows following entities to bill medicare on her behalf.
Provider NameWorksite Wellness Nutrition
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1760012082
PECOS PAC ID: 7113355603
Enrollment ID: O20200316001988

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. Nicole Lyn Hallissey 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
Nicole Lyn Hallissey, RDN
45 E End Ave Apt 4d,
New York, NY 10028-7980

Ph: (201) 264-2251		Nicole Lyn Hallissey, RDN
7 Brook St,
Mahwah, NJ 07430-1103

Ph: (201) 264-2251

Reviews and Comments


Dietitian, Registered in Mahwah, NJ

Brittany Gleeson, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 7 Brook St, Mahwah, NJ 07430
Phone: 212-655-9823    
Patricia H Ortlieb, RD, CDE
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 68 Sunnyside Rd, Mahwah, NJ 07430
Phone: 201-529-2459    
Cheung Ko Correll, MBA, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 304 Linden St, Mahwah, NJ 07430
Phone: 203-400-0506    
Ms. Alexandra Morgan Orlan, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 7 Brook St, Mahwah, NJ 07430
Phone: 201-264-2251    
Mrs. Kathleen Cornella Devine, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 28 Riverview Ter, Mahwah, NJ 07430
Phone: 201-529-5680    
Amity Lui,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 7 Brook St, Mahwah, NJ 07430
Phone: 201-264-2251    

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.