NPIMap

Organization Active NPI

Storch Nutritional Medicine Associates,PA

Doing business as Advanced Metabolic & Functional Medicine Center

  • Internal Medicine Physician
  • Cedar Knolls, NJ
National Provider Identifier
1336295419
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STORCH NUTRITIONAL MEDICINE ASSOCIATES,PA
Doing business as
Advanced Metabolic & Functional Medicine Center
Practice address
210 Malapardis Rd Ste 202
Cedar Knolls, NJ 07927-1121
Phone
(973) 240-5000
Fax
(973) 765-9366
NPI assigned
Jan 25, 2007
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Dr. Kenneth J Storch, MD, PHDNPI 1841285954
Title
Owner
Phone
(973) 240-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

210 Malapardis Rd Ste 202
Cedar Knolls, NJ 07927-1121

Mailing address

210 Malapardis Rd Ste 202
Cedar Knolls, NJ 07927-1121
Phone (973) 765-9413

Other identifiers 1

IdentifierTypeStateIssuer
7886209MedicaidNJ

Other names 1

  • Advanced Metabolic & Functional Medicine Center Doing business as

National Provider Directory

National Provider Directory

Locations

210 Malapardis Rd
Ste 202
Cedar Knolls, NJ 07927
Phone (973) 240-5000

7 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 765-9355

Practitioners & affiliated clinicians

Practitioners 12

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1336295419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MALAPARDIS RD STE 202",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271121",
            "telephone_number": "973-765-9413",
            "fax_number": "973-240-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MALAPARDIS RD STE 202",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271121",
            "telephone_number": "973-240-5000",
            "fax_number": "973-765-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORCH NUTRITIONAL MEDICINE ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "STORCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-240-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7886209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Metabolic & Functional Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Knolls, NJ

Sources for this page

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