Jersey Surgical Weight Control Center LLC

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

Legal business name

JERSEY SURGICAL WEIGHT CONTROL CENTER LLC

Practice address

222 Schanck Rd Ste 200
Freehold, NJ 07728-2974

Phone

(800) 920-9928

Fax

(800) 615-9936

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Liliya Prokurat

Title

Manager of Operations

Phone

(800) 920-9928

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Michael Robert Kammerer, MD

  • Surgery Physician
  • Freehold, NJ
  • NPI 1932350287
  Medicare reassignment NPD
• Val Prokurat, DO

  • Surgery Physician
  • Freehold, NJ
  • NPI 1316109366
  NPD
• Theresa Risley, RD

  • Registered Dietitian
  • Freehold, NJ
  • NPI 1366198012
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1154930220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SCHANCK RD STE 200",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282974",
            "telephone_number": "800-920-9928",
            "fax_number": "800-615-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SCHANCK RD STE 200",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282974",
            "telephone_number": "800-920-9928",
            "fax_number": "800-615-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SURGICAL WEIGHT CONTROL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "PROKURAT",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "800-920-9928"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obesity and Weight Management Nutrition Registered Dietitian in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.