Active NPI
Christine Desouza, MS, RD
- Registered Dietitian
- Somerville, NJ
National Provider Identifier
1225683261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 837637
- Practice address
- 337 E Main St Ste 2B
Somerville, NJ 08876-3109 - Phone
- (908) 524-0214
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 837637 | NJ | |
| Registered Dietitian | 133V00000X | 837637 | NJ | Primary |
Addresses
Primary practice location
337 E Main St Ste 2B
Somerville, NJ 08876-3109
Mailing address
337 E Main St
Somerville, NJ 08876-3109
Phone (908) 524-0214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 837637 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourished Hope LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
337 E Main St
Ste 2B
Somerville, NJ 08876
Phone (732) 705-1624
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": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1225683261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 E MAIN ST",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088763109",
"telephone_number": "908-524-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 E MAIN ST STE 2B",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088763109",
"telephone_number": "908-524-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESOUZA",
"first_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NJ",
"license": "837637",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "837637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.