Alyson Jill Small, REGISTERED DIEITIAN

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

888750 Issued in NJ

Practice address

230 Fountain Rd
Englewood, NJ 07631-4403

Phone

(201) 572-0597

NPI assigned

Aug 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1013791466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 FOUNTAIN RD",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314403",
            "telephone_number": "201-572-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 FOUNTAIN RD",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314403",
            "telephone_number": "201-572-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "ALYSON",
        "middle_name": "JILL",
        "credential": "REGISTERED DIEITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "888750",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NJ",
            "license": "888750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alok Kumar Sinha, MD
• Cyndi Sison-Vinculado, APN
• Joseph S Sison, MD
• Alicia C Skarimbas, MD
• Jacqueline A Skoufas, FNP
• Ebben Will Smith, M.D.
• Jeffrey Smok, MD
• Adam E Sniderman, VMD
• In Young Sohn
• Lisa Sokoloff, LCSW

• Obesity and Weight Management Nutrition Registered Dietitian in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.