Greatlife Wellness Center

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00727429

Legal business name

GREATLIFE WELLNESS CENTER

Practice address

3115 Route 38
Mount Laurel, NJ 08054-9752

Phone

(856) 234-6072

Fax

(856) 234-6142

NPI assigned

Dec 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer B Mele, RD

Title

Dietitian

Phone

(856) 234-6072

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215093976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 ROUTE 38",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549752",
            "telephone_number": "856-234-6072",
            "fax_number": "856-234-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 ROUTE 38",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549752",
            "telephone_number": "856-234-6072",
            "fax_number": "856-234-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATLIFE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "856-234-6072",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "00727429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace's Garden
• Kathleen Elaine Grafke-Dallos, PT
• Colleen Graham
• Christina Maria Granato
• Irene Grandeza, M.A. BCBA
• Emily Green
• Nicole S Green
• Olivia Green
• Sarah J Green
• Tamya S Green

• Registered Dietitian in Mount Laurel, NJ
• Providers in Mount Laurel, 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 Aug 22, 2020; 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.