Julia S. Buckley Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

JULIA S. BUCKLEY NUTRITION, LLC

Practice address

323 Graydon Ter
Ridgewood, NJ 07450-2711

Phone

(201) 820-8824

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Julia Sharkey Buckley, MS, RD

Title

Owner

Phone

(201) 820-8824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1033635644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 GRAYDON TER",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502711",
            "telephone_number": "12018208824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 GRAYDON TER",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502711",
            "telephone_number": "201-820-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA S. BUCKLEY NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "SHARKEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-820-8824",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Ridgewood, NJ
• Providers in Ridgewood, 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 Aug 15, 2017; 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.