Active NPI
Abigail Porch, RD
- Registered Dietitian
- Bay Head, NJ
National Provider Identifier
1174354682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Ray, RDN LLC | Dietitian, Registered | Current | 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.