NPIMap

Organization Active NPI

Jennifer Melanson Nutrition LLC

  • Registered Dietitian
  • Montclair, NJ
National Provider Identifier
1245820976
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
JENNIFER MELANSON NUTRITION LLC
Practice address
100 Valley Rd Ste 204
Montclair, NJ 07042-2200
Phone
(973) 200-8390
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Jennifer Melanson, MA, RDNNPI 1013514918
Title
Owner
Phone
(973) 200-8390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

100 Valley Rd Ste 204
Montclair, NJ 07042-2200

Mailing address

100 Valley Rd Ste 204
Montclair, NJ 07042-2200
Phone (973) 200-8390

National Provider Directory

National Provider Directory

Locations

100 Valley Rd
Ste 204
Montclair, NJ 07042
Phone (973) 200-8390

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": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1245820976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VALLEY RD STE 204",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422200",
            "telephone_number": "973-200-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VALLEY RD STE 204",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422200",
            "telephone_number": "973-200-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MELANSON NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "MELANSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-200-8390",
        "authorized_official_credential": "MA, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.