The Enlightened Dietitian LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE ENLIGHTENED DIETITIAN LLC

Practice address

25 Hickory PL Apt B6
Chatham, NJ 07928-1469

Phone

(973) 852-3773

NPI assigned

Jul 6, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Eklof, RD

Title

Owner

Phone

(973) 852-3773

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1003487661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HICKORY PL APT B6",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281469",
            "telephone_number": "973-852-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HICKORY PL APT B6",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281469",
            "telephone_number": "973-852-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENLIGHTENED DIETITIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "EKLOF",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-852-3773",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25 Hickory Pl Apt B6",
            "city": "Chatham",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079281469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• April Baskin Sussman, P.T. M.A.
• Nicole Eileen Tababa, OTD, OTR/L
• Heema D Tambakuwala, NP
• Tantalum Health LLC
• The Arc/Morris County Chapter (NJ) Inc.
• Anna J. Tivade, LCSW
• Karen A. Tom, PT
• Valerie Tom, M.D.
• Touchpoint Pediatrics, P.a.
• Allen Traficante, M.D.

• Registered Dietitian in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.