Individual provider Active NPI

Abigail Porch, RD

  • Registered Dietitian
  • Bay Head, NJ
National Provider Identifier
1174354682
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
92 Bridge Ave Ste 202
Bay Head, NJ 08742-5068
Phone
(732) 701-7126
NPI assigned
Aug 8, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 NJ Primary

Addresses

Primary practice location

92 Bridge Ave Ste 202
Bay Head, NJ 08742-5068

Mailing address

64 Morris Ave
West Milford, NJ 07480-1141
Phone (973) 934-5452

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
Chandler Ray, RDN LLC Dietitian, Registered CurrentSince Aug 11, 2024 Accepting new patients

Locations

92 Bridge Ave
Ste 202
Bay Head, NJ 08742
Phone (732) 586-3575

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": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1174354682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MORRIS AVE",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801141",
            "telephone_number": "973-934-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BRIDGE AVE STE 202",
            "city": "BAY HEAD",
            "state": "NJ",
            "postal_code": "087425068",
            "telephone_number": "732-701-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCH",
        "first_name": "ABIGAIL",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Head, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.