Active NPI
Egglrock Nutrition, LLC
- Nutrition Education Nutritionist
- Union, NJ
National Provider Identifier
1336531797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 000
- Legal business name
- EGGLROCK NUTRITION, LLC
- Practice address
- 397 Chestnut St
Suite 2
Union, NJ 07083-9429 - Phone
- (908) 764-9062
- NPI assigned
- Feb 23, 2015
- 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
- Dr. Laura L. Rokosz, PHD
- Title
- Practitioner
- Phone
- (908) 764-9062
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 000 | NJ | Primary |
Addresses
Primary practice location
397 Chestnut St
Suite 2
Union, NJ 07083-9429
Mailing address
397 Chestnut St
Suite 2
Union, NJ 07083-9429
Phone (908) 764-9062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
397 Chestnut St
Ste 2
Union, NJ 07083
Phone (908) 206-8606
Interoperability endpoints
- https://api.platform.athenahealth.com/13456/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427241600000",
"number": "1336531797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 CHESTNUT ST",
"address_2": "SUITE 2",
"city": "UNION",
"state": "NJ",
"postal_code": "070839429",
"telephone_number": "908-764-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 CHESTNUT ST",
"address_2": "SUITE 2",
"city": "UNION",
"state": "NJ",
"postal_code": "070839429",
"telephone_number": "908-764-9062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EGGLROCK NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-23",
"last_updated": "2015-03-25",
"status": "A",
"authorized_official_last_name": "ROKOSZ",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRACTITIONER",
"authorized_official_telephone_number": "908-764-9062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": "NJ",
"license": "000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.