Samar Habiby, MPH, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

800339 Issued in NJ

Practice address

10 Industrial Way E Ste 104
Eatontown, NJ 07724-3333

Phone

(732) 389-1331

NPI assigned

Feb 13, 2018

Last updated

Feb 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Jersey Specialty Surgical Associates,LLC

  • Surgery Physician
  • Eatontown, NJ
  • NPI 1598784761
  NPD (past)
• CNJ Specialty Surgical Associate

  dba Central Jersey Specialty Surgical Associates

  • Surgery Physician
  • Eatontown, NJ
  • NPI 1629841614
  NPD (past)

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1215437587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PRIMROSE CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331075",
            "telephone_number": "201-245-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E STE 104",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243333",
            "telephone_number": "732-389-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBY",
        "first_name": "SAMAR",
        "credential": "MPH, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "800339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaiann Nicole Grey, LCSW
• Karen Grygiel, LAC
• Molly Gulati, MSW, LSW
• Rhonda Gulotta, LAC
• Jennfer Marie Guzman, CADC INTERN, CPRS
• Hackensack Meridian Ambulatory Care, Inc. (Hackensack Meridian at Home Infusion)
• Hackensack Meridian Ambulatory Care, Inc. (Hackensack Meridian Health Pharmacy)
• Hackensack Meridian Ambulatory Care, Inc. (Hackensack Meridian Pharmacy Eatontown)
• Hackensack Meridian Ambulatory Care, Inc. (HMH Pharmacy at Eatontown)
• Hackensack Meridian Outpatient Services, Inc. (Hackensack Meridian Rehabilitation Eatontown)

• Registered Dietitian in Eatontown, NJ
• Providers in Eatontown, 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 13, 2018; 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.