NPIMap

Organization Active NPI

Optimal Nutrition Solutions of NJ, LLC

  • Registered Dietitian
  • Wyckoff, NJ
National Provider Identifier
1235471236
Registry record updated Mar 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1052546 Issued in NJ
Legal business name
OPTIMAL NUTRITION SOLUTIONS OF NJ, LLC
Practice address
465 W Main St
Wyckoff, NJ 07481-1453
Phone
(201) 650-5519
NPI assigned
Mar 18, 2013
Last updated
Mar 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2013

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

Authorized official

Name
Ms. Jacqueline Piemonte, MS, RDNPI 1306185426
Title
Registered Dietitian, Owner
Phone
(201) 650-5519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1052546 NJ Primary

Addresses

Primary practice location

465 W Main St
Wyckoff, NJ 07481-1453

Mailing address

426 Caldwell Dr
Wyckoff, NJ 07481-2528
Phone (201) 650-5519

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364688000000",
    "number": "1235471236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 CALDWELL DR",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812528",
            "telephone_number": "201-650-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W MAIN ST",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811453",
            "telephone_number": "201-650-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL NUTRITION SOLUTIONS OF NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-31",
        "status": "A",
        "authorized_official_last_name": "PIEMONTE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, OWNER",
        "authorized_official_telephone_number": "201-650-5519",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "1052546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2013; 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.