NPIMap

Organization Active NPI

Premier Dietitians LLC

  • Registered Dietitian
  • Rockaway, NJ
National Provider Identifier
1114765955
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PREMIER DIETITIANS LLC
Practice address
100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129
Phone
(862) 257-1297
Fax
(888) 442-1408
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Perla Nelson, MBA, RDNNPI 1467712828
Title
Owner
Phone
(862) 257-1297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129

Mailing address

2 Main St.
PO Box 9
Sparta, NJ 07871
Phone (862) 257-1297

National Provider Directory

National Provider Directory

Locations

2 Main St
Unit 9
Sparta, NJ 07871

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1114765955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAIN ST.",
            "address_2": "PO BOX 9",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "862-257-1297",
            "fax_number": "888-442-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ENTERPRISE DR STE 301",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662129",
            "telephone_number": "862-257-1297",
            "fax_number": "888-442-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIETITIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PERLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-257-1297",
        "authorized_official_credential": "MBA, RDN"
    },
    "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 Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.