Gocopetra Care Consultant LLC

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

927499 Issued in IL

Legal business name

GOCOPETRA CARE CONSULTANT LLC

Practice address

170 Norwood St
Newark, NJ 07106-2627

Phone

(201) 491-9972

Fax

(973) 324-2218

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Comfort Nwamaka Ekunno-TabansiNPI 1306968938

Title

Registered Dietitian

Phone

(973) 731-7938

Specialties & licenses 1

Addresses

Practitioners 1

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

• Comfort N Ekunno-Tabansi, REGISTERED DIETITIAN

  • Metabolic Nutrition Registered Dietitian
  • Newark, NJ
  • NPI 1306968938

  Nutrition, Metabolic

  NPD (past) Authorized official

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1124122353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HILLSIDE TER",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524306",
            "telephone_number": "973-731-7938",
            "fax_number": "973-324-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORWOOD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071062627",
            "telephone_number": "201-491-9972",
            "fax_number": "973-324-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOCOPETRA CARE CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "EKUNNO-TABANSI",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_middle_name": "NWAMAKA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "973-731-7938",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "927499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glowing Hearts Home Care Services
• Leeann M Glozman, NP
• Kenneth A Gluck, DMD
• Talya Gluck, DMD
• Maria Cynthia Inocencio Gocon, OT
• Glenn P Godart, DMD
• Maxwell Alan Godek, MD
• Priyanka Goel Venugopal, D.O.
• Sruthi Reddy Gohimukkula, MD
• Saket Sanjeev Gokhale

• Metabolic Nutrition Registered Dietitian in Newark, NJ
• Providers in Newark, NJ by specialty
• Metabolic Nutrition Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.