Individual provider Active NPI

Natalie Adesanya, LIFE COACH,NUTRITION

  • Recreation Therapist
  • Linden, NJ
National Provider Identifier
1245828763
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Practice address
1203 W Saint Georges Ave
Linden, NJ 07036-6167
Phone
(908) 446-9208
NPI assigned
Jan 10, 2021
Last updated
Jan 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X NJ
Pastoral Counselor 101YP1600X NU
Recreation Therapist 225800000X NU Primary

Addresses

Primary practice location

1203 W Saint Georges Ave
Linden, NJ 07036-6167

Mailing address

1203 W Saint Georges Ave Ste 101
Linden, NJ 07036-6167
Phone (908) 446-9208

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL triunetransformations20@gmail.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Natalies Hair Sanctuary CurrentSince Jan 17, 2021 Accepting new patients

Locations

1203 W Saint Georges Ave
Ste 101
Linden, NJ 07036
Phone (908) 525-3217

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1245828763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 W SAINT GEORGES AVE STE 101",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366167",
            "telephone_number": "908-446-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366167",
            "telephone_number": "908-446-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESANYA",
        "first_name": "NATALIE",
        "credential": "LIFE COACH,NUTRITION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "triunetransformations20@gmail.com",
            "affiliation": "N",
            "address_1": "1203 W Saint Georges Ave",
            "city": "Linden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070366167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.