Organization Active NPI

Egglrock Nutrition, LLC

  • Nutrition Education Nutritionist
  • Union, NJ
National Provider Identifier
1336531797
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
000 Issued in NJ
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

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Dr. Laura L. Rokosz, PHDNPI 1861880379
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)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20150330000050 NJ Part B Supplier - Clinic/Group Practice 0446577589 Receives reassigned benefits from 1 practitioner
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

397 Chestnut St
Ste 2
Union, NJ 07083
Phone (908) 206-8606

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.