Active NPI
GHC RB Operator LLC
- Registered Dietitian
- Red Bank, NJ
National Provider Identifier
1114583390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- GHC RB OPERATOR LLC
- Practice address
- 325 Maple Ave
Red Bank, NJ 07701-2104 - Phone
- (732) 292-4363
- NPI assigned
- May 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jan Vasys
- Title
- Cfo
- Phone
- (732) 292-4363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
325 Maple Ave
Red Bank, NJ 07701-2104
Mailing address
1904 Atlantic Ave
Manasquan, NJ 08736-1006
Phone (732) 292-4363
Other practice location 1
1904 Atlantic Ave
Manasquan, NJ 08736-1006
Phone (732) 292-4363
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1114583390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 ATLANTIC AVE",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087361006",
"telephone_number": "732-292-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MAPLE AVE",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077012104",
"telephone_number": "732-292-4363"
}
],
"practiceLocations": [
{
"address_1": "1904 Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Manasquan",
"state": "NJ",
"postal_code": "087361006",
"country_code": "US",
"telephone_number": "732-292-4363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GHC RB OPERATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-14",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "VASYS",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "732-292-4363"
},
"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 Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.