Active NPI
Jennifer Lewis, RDN
- Registered Dietitian
- South Plainfield, NJ
National Provider Identifier
1164134185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 837619
- Practice address
- 2509 Park Ave Ste LLB
South Plainfield, NJ 07080-5300 - Phone
- (917) 697-1088
- NPI assigned
- Dec 21, 2022
- Last updated
- Dec 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 837619 | NJ | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 837619 | NJ | |
| Registered Dietitian | 133V00000X | 837619 | NJ | Primary |
Addresses
Primary practice location
2509 Park Ave Ste LLB
South Plainfield, NJ 07080-5300
Mailing address
815 Berkeley Ave
Plainfield, NJ 07062-2051
Phone (917) 697-1088
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 837619 | NJ | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer a Lewis LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
2509 Park Ave
Ste Llb
South Plainfield, NJ 07080
Phone (732) 548-4244
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": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1164134185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 BERKELEY AVE",
"city": "PLAINFIELD",
"state": "NJ",
"postal_code": "070622051",
"telephone_number": "917-697-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 PARK AVE STE LLB",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805300",
"telephone_number": "917-697-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JENNIFER",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NJ",
"license": "837619",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "NJ",
"license": "837619",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "837619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.