Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Roque, RDN

Individual provider Registered Dietitian · NPI 1790972313

Shannon Roque, RDN is a Registered Dietitian OR Nutrition Professional in Morristown, New Jersey. Qualified in 2005, 21 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
21
Licensed in
NJ
In the registry since
2007
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

435 S St
Morristown, NJ 07960-6422
Phone: (973) 971-7166
Fax: (973) 290-7518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 960240 (NJ)

Record details

NPI number1790972313
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedSeptember 27, 2007
Last updated in NPPESMay 10, 2018
Mailing addressPo Box 416457, Boston, MA 02241-7983

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Morristown