Individual provider Active NPI

Nancy Wohlbruck, RDN

  • Registered Dietitian
  • Summit, NJ
National Provider Identifier
1144943002
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
308 Broad St
Summit, NJ 07901-3507
Phone
(973) 722-0832
Fax
(855) 271-3477
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

308 Broad St
Summit, NJ 07901-3507

Mailing address

120 Passaic Ave
Spring Lake, NJ 07762-1308
Phone (917) 579-0591

Other practice location 1

1206 3rd Ave
Spring Lake, NJ 07762-1331
Phone (917) 722-0832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True Nutrition LLC Dietitian, Registered CurrentSince Sep 5, 2023 Accepting new patients

Locations

308 Broad St
Summit, NJ 07901
Phone (201) 463-8436

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1144943002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PASSAIC AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621308",
            "telephone_number": "917-579-0591",
            "fax_number": "855-271-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 BROAD ST",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013507",
            "telephone_number": "973-722-0832",
            "fax_number": "855-271-3477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "NJ",
            "postal_code": "077621331",
            "country_code": "US",
            "telephone_number": "917-722-0832",
            "fax_number": "855-271-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOHLBRUCK",
        "first_name": "NANCY",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.