Kusum L Kansal, RD,CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

586681 Issued in NJ

Practice address

332 Lafayette Ave
Hawthorne, NJ 07506-2506

Phone

(973) 460-7560

Fax

(862) 239-6059

NPI assigned

Jun 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gastroenterology Associates of New Jersey, LLC

  • Gastroenterology Physician
  • Woodland Park, NJ
  • NPI 1497932271
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1053316539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 AGAWAM DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702060",
            "telephone_number": "973-460-7560",
            "fax_number": "973-696-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062506",
            "telephone_number": "973-460-7560",
            "fax_number": "862-239-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANSAL",
        "first_name": "KUSUM",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RD,CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "586681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamlesh Jethani, DDS
• Joan Van Raalte D.M.D.,PC
• Sandra Sytsma Johnson, LCSW
• Jonathan Dental Spa at the Center for Cosmetic & Implant Dentistry LLC (Jonathan Dental Spa)
• Joseph W. Montagnino, Mdpa
• Katalyst Performance and Rehabilitation LLC
• Hardeep Kaur, DPT
• Mone'T Alexia Kendall-Turner, LAC
• Bernadette Bridget Kennedy, M.A.RN
• CHI Eon Kim, LCSW

• Registered Dietitian in Hawthorne, NJ
• Providers in Hawthorne, 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 Apr 27, 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.