Active NPI
Carol B. Salas, MS, RD
- Registered Dietitian
- Kendall Park, NJ
National Provider Identifier
1104926088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 110631
- Practice address
- 28 Kathy St
Kendall Park, NJ 08824-1605 - Phone
- (732) 821-0911
- Fax
- (732) 940-2670
- NPI assigned
- Sep 22, 2006
- 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 | 110631 | Primary |
Addresses
Primary practice location
28 Kathy St
Kendall Park, NJ 08824-1605
Mailing address
28 Kathy St
Kendall Park, NJ 08824-1605
Phone (732) 821-0911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2075442 | Other | NJ | AETNA PROVIDER |
| 5580532 | Other | NJ | CIGNA PROVIDER |
| P3156966 | Other | NJ | OXFORD PROVIDER |
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104926088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 KATHY ST",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241605",
"telephone_number": "732-821-0911",
"fax_number": "732-940-2670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 KATHY ST",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241605",
"telephone_number": "732-821-0911",
"fax_number": "732-940-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS",
"first_name": "CAROL",
"middle_name": "B.",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "110631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER",
"identifier": "2075442",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER",
"identifier": "5580532",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER",
"identifier": "P3156966",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kendall Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.