Active NPI
Aja Bussey, RDN
- Registered Dietitian
- Montclair, NJ
National Provider Identifier
1073310801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86331351
- Practice address
- 72 Chestnut St
Montclair, NJ 07042-3884 - Phone
- (862) 600-5042
- NPI assigned
- Feb 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86331351 | NJ | Primary |
Addresses
Primary practice location
72 Chestnut St
Montclair, NJ 07042-3884
Mailing address
72 Chestnut St
Montclair, NJ 07042-3884
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86331351 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1073310801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 CHESTNUT ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 CHESTNUT ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423884",
"telephone_number": "862-600-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSEY",
"first_name": "AJA",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86331351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.