Active NPI
Eat Well, Live Better LLC
- Registered Dietitian
- Marlton, NJ
National Provider Identifier
1265840060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- EAT WELL, LIVE BETTER LLC
- Practice address
- 750 Route 73 S
Suite 309a & 310a
Marlton, NJ 08053-4141 - Phone
- (804) 399-5060
- NPI assigned
- Jul 24, 2014
- Last updated
- Jul 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dinaz Homi Italia, RD
- Title
- Registered Dietitian
- Phone
- (804) 399-5060
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | ||
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
750 Route 73 S
Suite 309a & 310a
Marlton, NJ 08053-4141
Mailing address
230 Kings Hwy E
Suite 297
Haddonfield, NJ 08033-1907
Phone (804) 399-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
750 Route 73 S
Ste 309A
Marlton, NJ 08053
Phone (804) 399-5060
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": "1406160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406160000000",
"number": "1265840060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 KINGS HWY E",
"address_2": "SUITE 297",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080331907",
"telephone_number": "804-399-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 ROUTE 73 S",
"address_2": "SUITE 309A & 310A",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534141",
"telephone_number": "804-399-5060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAT WELL, LIVE BETTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A",
"authorized_official_last_name": "ITALIA",
"authorized_official_first_name": "DINAZ",
"authorized_official_middle_name": "HOMI",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "804-399-5060",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.