Peachy Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PEACHY NUTRITION LLC

Practice address

310 Schepis Ave
Saddle Brook, NJ 07663-4933

Phone

(201) 674-7459

NPI assigned

Feb 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fatme Boukheir

Title

President

Phone

(201) 674-7459

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1194265983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SCHEPIS AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634933",
            "telephone_number": "201-674-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SCHEPIS AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634933",
            "telephone_number": "201-674-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "BOUKHEIR",
        "authorized_official_first_name": "FATME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-674-7459"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.