Candice Lyn Wasolaskus, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1036618 Issued in NJ

Practice address

1103 West Sherman Avenue
Building 2 Unit C
Vineland, NJ 08360

Phone

(856) 362-5259

Fax

(856) 407-6978

NPI assigned

Sep 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Esa South Jersey Bariatrics, P.a.Group PAC ID 1759560600, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Esa South Jersey Bariatrics, P.a.

  • Surgery Physician
  • Vineland, NJ
  • NPI 1235448564
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1144656604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 WEST SHERMAN AVENUE",
            "address_2": "BUILDING 2 UNIT C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-362-5259",
            "fax_number": "856-407-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WEST SHERMAN AVENUE",
            "address_2": "BUILDING 2 UNIT C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-362-5259",
            "fax_number": "856-407-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASOLASKUS",
        "first_name": "CANDICE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "1036618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60166181",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Walters, PTA
• Wesley Changson Wang, DO
• Nicole Marie Ward, APRN, FNP-BC
• Matthew James Warner, M.D.
• Wasique Narvel, MD,LLC
• Rachel Waters, APN
• Watts Plastic Surgery Association, P.C.
• David Cassell Watts, M.D.
• Helena B Watts, MD
• Matthew Joseph Weaver, DO

• Registered Dietitian in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.