Ellie Kelsey Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ELLIE KELSEY NUTRITION LLC

Practice address

1924 Rte 35 Ste 9C
Wall Township, NJ 07719-3530

Phone

(732) 570-1078

NPI assigned

Dec 30, 2022

Organization subpart

No

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

Authorized official

Name

Elisabeth Kelsey, RDNPI 1801561857

Title

Registered Dietitian

Phone

(732) 570-1078

Specialties & licenses 1

Addresses

Other names 1

• Ellie Kelsey Nutrition LLC Doing business as

Locations

Practitioners 1

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

• Elisabeth Kelsey

  • Registered Dietitian
  • Wall Township, NJ
  • NPI 1801561857

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1073226403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 RTE 35 STE 9C",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193530",
            "telephone_number": "732-570-1078",
            "fax_number": "732-285-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 RTE 35 STE 9C",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193530",
            "telephone_number": "732-570-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE KELSEY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "732-570-1078",
        "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": [
        {
            "organization_name": "Ellie Kelsey Nutrition LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Kelsey Nutrition LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Doumas, MD
• Igal Dubov, D.C.
• Joseph Duchak Jr., LPC
• Delaney Micaylah Duncan, PA
• Jaclyn Joanne Dunn, PT, DPT
• Elsamadisi Psychiatry LLC
• Amir Elsamadisi, MD
• Edward Randall Faulkner, LSW
• Joan Alys Ferrelli, APRN,BC
• Michael James Findura, D.O.

• Registered Dietitian in Wall Township, NJ
• Providers in Wall Township, 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 Nov 4, 2024; 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.