Living Fit Center,LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

560066 Issued in NJ

Legal business name

LIVING FIT CENTER,LLC

Practice address

110 Roosevelt Blvd
Marmora, NJ 08223-1442

Phone

(609) 840-6287

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Debbe A Bourgoin, RD

Title

Director

Phone

(609) 840-6287

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1215205588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ROOSEVELT BLVD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231442",
            "telephone_number": "609-840-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROOSEVELT BLVD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231442",
            "telephone_number": "609-840-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FIT CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "BOURGOIN",
        "authorized_official_first_name": "DEBBE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-840-6287",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "560066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Marmora, NJ
• Providers in Marmora, 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 Dec 1, 2011; 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.