Organization Active NPI

GHC RB Operator LLC

  • Registered Dietitian
  • Red Bank, NJ
National Provider Identifier
1114583390
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Feb 7, 2024

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.