Active NPI
Ellen Petrosino Consulting, LLC
- Registered Dietitian
- Far Hills, NJ
National Provider Identifier
1023516135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1103105
- Legal business name
- ELLEN PETROSINO CONSULTING, LLC
- Practice address
- 22 Peapack Rd
Far Hills, NJ 07931-2437 - Phone
- (908) 234-1160
- NPI assigned
- Jan 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ellen Petrosino, RDN
- Title
- Sole Proprietor
- Phone
- (973) 210-5853
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1103105 | Primary |
Addresses
Primary practice location
22 Peapack Rd
Far Hills, NJ 07931-2437
Mailing address
54 Union Hill Rd
Madison, NJ 07940-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516752000000",
"number": "1023516135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 UNION HILL RD",
"city": "MADISON",
"state": "NJ",
"postal_code": "079402300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PEAPACK RD",
"city": "FAR HILLS",
"state": "NJ",
"postal_code": "079312437",
"telephone_number": "908-234-1160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLEN PETROSINO CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A",
"authorized_official_last_name": "PETROSINO",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "973-210-5853",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": "1103105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Hills, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.