The Gym Lakewood

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE GYM LAKEWOOD

Practice address

1700 Madison Ave
Lakewood, NJ 08701-1253

Phone

(732) 364-4404

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Faigy Anton, RDNNPI 1003685066

Title

Dietitian

Phone

(773) 664-5610

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faigy Anton, RDN

  • Registered Dietitian
  • Lakewood, NJ
  • NPI 1003685066

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1114760147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MADISON AVE APT B4",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012676",
            "telephone_number": "773-664-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011253",
            "telephone_number": "732-364-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GYM LAKEWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "ANTON",
        "authorized_official_first_name": "FAIGY",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "773-664-5610",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lakewood, NJ
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.