Kidney Wellness Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KIDNEY WELLNESS NUTRITION LLC

Practice address

31 Rose Ave
Springfield, NJ 07081-1720

Phone

(862) 703-8427

NPI assigned

May 11, 2026

Organization subpart

No

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

Authorized official

Name

Justine Hernandez, RDNPI 1265297154

Title

Owner

Phone

(862) 703-8427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justine Hernandez

  • Registered Dietitian
  • Short Hills, NJ
  • NPI 1265297154

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780790400000",
    "number": "1023946225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROSE AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811720",
            "telephone_number": "862-703-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROSE AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811720",
            "telephone_number": "862-703-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY WELLNESS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-703-8427",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terence Joseph Kearse, PH.D.
• Nikole Keller, IBCLC, CLC, CD,CIPSP
• Felicia Kemp
• Michael Bernard Kerner, M.D.
• Ashish Abhay Khot, MD
• DO Yoon Kim, MD, DDS
• Karen J. M. King, FNP-BC
• Uthra Kodiyalam, M.D.,
• Michael Adam Koffman, PH.D.
• Sheryl Kolat, MA, CCC-SLP

• Registered Dietitian in Springfield, NJ
• Providers in Springfield, 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 Jun 7, 2026; 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.

Verify at the official NPI Registry.