Shannon Roque, RDN
NPI 1790972313ActiveIndividual· Dietitian, Registered· Morristown, NJ
Dietitian, Registered (RDN) with Practice Associates Medical Group, practicing in Morristown, New Jersey. Medicare paid $2,674 for services to 19 patients in 2024.
Overview
| NPI | 1790972313 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN |
| Sole proprietor | No |
| NPI issued | Sep 27, 2007 |
| Last updated in NPPES | May 10, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 960240 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 85 across 2 procedure codes |
| Paid by Medicare | $2,674 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Practice Associates Medical GroupSummit, NJ · 1,408 clinicians
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All 49 registered dietitians in Morristown · All registered dietitians in New Jersey