Jill McCormick Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

JILL MCCORMICK NUTRITION LLC

Practice address

445 Marshall St
Suite 147
Phillipsburg, NJ 08865-2695

Phone

(908) 319-4339

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Jill McCormick, MS, RD, LDNNPI 1477091130

Title

Sole Member

Phone

(908) 319-4339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill M McCormick, M.S., R.D., L.D.N.

  • Registered Dietitian
  • Phillipsburg, NJ
  • NPI 1477091130

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1265968101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 ARBOR DR",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088862324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MARSHALL ST",
            "address_2": "SUITE 147",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652695",
            "telephone_number": "908-319-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL MCCORMICK NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "908-319-4339",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F Kline
• Jalak Jani, MD
• Alyssa Jansen, BCBA
• Subhashchandra J. Javia, M.D.
• Lamasiniel Jeanty
• Bruce John Jiorle, DMD
• Diana Jiorle
• Marita Ann John
• Savion D'Vontai Johnson, MD
• Thomas Johnson

• Registered Dietitian in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.

Verify at the official NPI Registry.