Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Shannon Roque, RDN

Individual provider Registered Dietitian · NPI 1790972313

Shannon Roque, RDN is registered under 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.

See every abbreviation used in this directory →

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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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 85 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Practice Associates Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1403 clinicians in the practice; 12 are shown here.

Other providers in Morristown