Individual provider Active NPI

Tara Geier, RD

  • Registered Dietitian
  • Manasquan, NJ
National Provider Identifier
1053052415
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86074646 Issued in NJ
Practice address
2517 Highway 35 Ste B201
Manasquan, NJ 08736-1923
Phone
(862) 579-5098
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1004X 86074646 NJ
Metabolic Nutrition Registered Dietitian 133VN1006X 86074646 NJ
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 86074646 NJ
Sports Dietetics Nutrition Registered Dietitian 133VN1501X 86074646 NJ
Registered Dietitian 133V00000X 86074646 NJ Primary

Addresses

Primary practice location

2517 Highway 35 Ste B201
Manasquan, NJ 08736-1923

Mailing address

6 Overhill Dr
Madison, NJ 07940-1312
Phone (862) 579-5098

Other identifiers 1

IdentifierTypeStateIssuer
86074646OtherNJCOMISSION ON DIETETIC REGISTRATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tara@jerseyshorebehavioral.com

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

State licenses

LicenseStateTypeSpecialty
86074646NJMDObesity and Weight Management Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1053052415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OVERHILL DR",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401312",
            "telephone_number": "862-579-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35 STE B201",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361923",
            "telephone_number": "862-579-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIER",
        "first_name": "TARA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NJ",
            "license": "86074646",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NJ",
            "license": "86074646",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NJ",
            "license": "86074646",
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "NJ",
            "license": "86074646",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86074646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMISSION ON DIETETIC REGISTRATION",
            "identifier": "86074646",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tara@jerseyshorebehavioral.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "6 Overhill Dr",
            "city": "Madison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079401312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.