Active NPI
Patricia Desroches Eugene, FNLP
- Nutrition Education Nutritionist
- West Orange, NJ
National Provider Identifier
1003564733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Practice address
- 419 Northfield Ave Ste 1
West Orange, NJ 07052-3091 - Phone
- (201) 762-5090
- Fax
- (551) 210-1912
- NPI assigned
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Primary |
Addresses
Primary practice location
419 Northfield Ave Ste 1
West Orange, NJ 07052-3091
Mailing address
419 Northfield Ave Ste 1
West Orange, NJ 07052-3091
Phone (201) 762-5090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosperity Home Health Care LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Marlton, NJ
- NPI 1952921579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1003564733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 NORTHFIELD AVE STE 1",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523091",
"telephone_number": "201-762-5090",
"fax_number": "551-210-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 NORTHFIELD AVE STE 1",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523091",
"telephone_number": "201-762-5090",
"fax_number": "551-210-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUGENE",
"first_name": "PATRICIA",
"middle_name": "DESROCHES",
"credential": "FNLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.