Jennifer Blume, RD
Individual provider Active NPI Registered Dietitian · Warren, NJ
NPI 1164809752 · NPPES record last updated May 15, 2026
Key facts
- NPI
- 1164809752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 989877 (NJ)
- Practice address
- 20 Thistle LN
Warren, NJ 07059-5564 - Phone
- (732) 283-1900
- Fax
- (732) 898-3951
- NPI assigned
- May 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151106000206 | NJ | Practitioner - Registered Dietitian Or Nutrition Professional | 9537479308 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 989877 | FL | MD | Registered Dietitian |
| 989877 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingley Health Services NJ LLC | Past | Accepting new patients | |
| Mindful Eating Company LLC | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 989877 | FL | |
| Registered Dietitian | 133V00000X | 989877 | NJ | Yes |
Addresses
Primary practice location
20 Thistle LN
Warren, NJ 07059-5564
Mailing address
331 Newman Springs Road
BLDG. 2, Suite 220
Red Bank, NJ 07701
Phone (732) 807-0877
Other practice location 1
81 E Rte 4 Ste 401
Paramus, NJ 07652-2667
Phone (201) 646-1121
Other providers in Warren, NJ
- Carly Irene Biondi
- Gabrielle Marie Bisogno
- Rebekah M Blackwell
- Jennifer Lynn Blake
- Carin Blatteis
- Stephen Kurt Bobella
- Zachary Bonte
- Miriam A Borton
- Jennifer Bossard
- Melissa Woods Bouffard
All providers in Warren, NJ · Registered Dietitian in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.