Organization Active NPI

Living Plate LLC

  • Registered Dietitian
  • Far Hills, NJ
National Provider Identifier
1093185480
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LIVING PLATE LLC
Practice address
22 Peapack Rd
Far Hills, NJ 07931-2437
Phone
(908) 234-1160
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Jeanne Petrucci, MS, RDN
Title
Managing Director
Phone
(908) 234-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

22 Peapack Rd
Far Hills, NJ 07931-2437

Mailing address

22 Peapack Rd
P.O. Box 158
Far Hills, NJ 07931-2437
Phone (908) 234-1160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1093185480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PEAPACK RD",
            "address_2": "P.O. BOX 158",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079312437",
            "telephone_number": "908-234-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PEAPACK RD",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079312437",
            "telephone_number": "908-234-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING PLATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "PETRUCCI",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "908-234-1160",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.