Active NPI
Justine Hernandez
- Registered Dietitian
- Short Hills, NJ
National Provider Identifier
1265297154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86055291
- Practice address
- 514 Millburn Ave # 2000
Short Hills, NJ 07078-2508 - Phone
- (862) 703-8427
- NPI assigned
- Feb 19, 2024
- Last updated
- Apr 19, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86055291 | NJ | Primary |
Addresses
Primary practice location
514 Millburn Ave # 2000
Short Hills, NJ 07078-2508
Mailing address
31 Rose Ave
Springfield, NJ 07081-1720
Phone (862) 703-8427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
31 Rose Ave
Springfield, NJ 07081-1720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86055291 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Wellness Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Pershing Dialysis LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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Dietitian, Registered
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dba Jersey City Grand Home Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jersey City, NJ
- NPI 1619361136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776556800000",
"number": "1265297154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 ROSE AVE",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070811720",
"telephone_number": "862-703-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 MILLBURN AVE # 2000",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070782508",
"telephone_number": "862-703-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JUSTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2026-04-19",
"certification_date": "2026-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86055291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Short Hills, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.