Julia C Grande, RD

Key facts

NPI

1093546277

Entity type

Individual (NPI type 1)

Primary specialty

Registered Dietitian 133V00000X

License

86326549 (NJ)

Practice address

101 Eisenhower Pkwy
Roseland, NJ 07068-1032

Phone

(973) 896-3609

NPI assigned

Aug 9, 2024

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Life Nutrition Project LLC Registered Dietitian · Roseland, NJ · NPI 1154017028
  Medicare reassignment NPD (past) DIETITIAN, REGISTERED · NJ

Medicare Care Compare profile

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 9, 2024.

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1093546277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PARKER RD",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361421",
            "telephone_number": "609-955-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EISENHOWER PKWY",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681032",
            "telephone_number": "973-896-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "JULIA",
        "middle_name": "C",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86326549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauren Goodwyn, BA
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• Harold Green
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• Graham Jeffrey Hartke, PSY.D.
• Healthy Habitats, LLC

All providers in Roseland, NJ · Registered Dietitian in New Jersey