Individual provider Active NPI

Elina Kruglyak, RDN

  • Registered Dietitian
  • Franklin Lakes, NJ
National Provider Identifier
1154951788
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86047698 Issued in NJ
Practice address
8 Tice Rd
Apt 207
Franklin Lakes, NJ 07417-0741
Phone
(973) 727-1260
Fax
(973) 874-5313
NPI assigned
Jan 23, 2020
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 86047698 NJ Primary

Addresses

Primary practice location

8 Tice Rd
Apt 207
Franklin Lakes, NJ 07417-0741

Mailing address

8 Tice Rd Apt 207
Franklin Lakes, NJ 07417-1468
Phone (973) 727-1260

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
86047698NJMDRegistered Dietitian

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1154951788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TICE RD APT 207",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171468",
            "telephone_number": "973-727-1260",
            "fax_number": "973-874-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TICE RD",
            "address_2": "APT 207",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074170741",
            "telephone_number": "973-727-1260",
            "fax_number": "973-874-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGLYAK",
        "first_name": "ELINA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86047698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.