Individual provider Active NPI

Anju M Dang, PHD, RDN

  • Registered Dietitian
  • Belle Mead, NJ
National Provider Identifier
1194448803
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86295971 Issued in NJ
Practice address
14 Meadow Lark LN
Belle Mead, NJ 08502-4930
Phone
(603) 425-9697
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 86295971 NJ
Registered Dietitian 133V00000X 86295971 NJ Primary

Addresses

Primary practice location

14 Meadow Lark LN
Belle Mead, NJ 08502-4930

Mailing address

14 Meadow Lark LN
Belle Mead, NJ 08502-4930
Phone (603) 425-9697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202003001 NJ Practitioner - Registered Dietitian Or Nutrition Professional 9335582634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
86295971NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Amd Life Sciences LLC Nutritionist CurrentSince Dec 11, 2023 Accepting new patients

Locations

475 Wall St
Princeton, NJ 08540
Phone (609) 910-1715

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1194448803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MEADOW LARK LN",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024930",
            "telephone_number": "603-425-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MEADOW LARK LN",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024930",
            "telephone_number": "603-425-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "ANJU",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NJ",
            "license": "86295971",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86295971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Mead, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.