Active NPI
Eliza R Heberlein, RDN
- Registered Dietitian
- Highland Park, NJ
National Provider Identifier
1326455528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86016524
- Practice address
- 307 Raritan Ave
Highland Park, NJ 08904-2757 - Phone
- (609) 529-6909
- NPI assigned
- Jul 20, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86016524 | NJ | Primary |
| Nutrition Education Nutritionist | 133NN1002X | 86016524 | NJ | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 86016524 | NJ | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 86016524 | NJ | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 86016524 | NJ |
Addresses
Primary practice location
307 Raritan Ave
Highland Park, NJ 08904-2757
Mailing address
31 Clement Ave
Ewing, NJ 08638-1603
Phone (609) 529-6909
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86016524 | NJ | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rest and Digest Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
307 Raritan Ave
Highland Park, NJ 08904
Phone (732) 246-4242
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 and National Provider Directory roles.
-
- Registered Dietitian
- Highland Park, NJ
- NPI 1922868991
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1326455528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 CLEMENT AVE",
"city": "EWING",
"state": "NJ",
"postal_code": "086381603",
"telephone_number": "609-529-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 RARITAN AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042757",
"telephone_number": "609-529-6909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERLEIN",
"first_name": "ELIZA",
"middle_name": "R",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-20",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86016524",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NJ",
"license": "86016524",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NJ",
"license": "86016524",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NJ",
"license": "86016524",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "NJ",
"license": "86016524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.