Newgen Peak Performance, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NEWGEN PEAK PERFORMANCE, LLC

Doing business as

NewGen Peak Performance

Practice address

263 Vietnam Veterans Memorial Highway
Mangilao, GU 96913

Phone

(671) 735-8000

NPI assigned

Jun 20, 2018

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luan Nguyen, MD

Title

Ceo

Phone

(671) 735-8000

Specialties & licenses 1

Addresses

Other names 1

• NewGen Peak Performance Doing business as

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1336633643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217954",
            "city": "BARRIGADA",
            "state": "GU",
            "postal_code": "969216957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 VIETNAM VETERANS MEMORIAL HIGHWAY",
            "city": "MANGILAO",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-735-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Vietnam Veterans Highway",
            "address_purpose": "LOCATION",
            "city": "MANGILAO",
            "state": "GU",
            "postal_code": "96913",
            "country_code": "US",
            "telephone_number": "671-735-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEWGEN PEAK PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "671-735-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NewGen Peak Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antoinette Marie Kleiner, FNP
• Lumina LLC (Mangilao Dental Clinic)
• Janna Wilgus Manglona, M.D.
• Jolan Su McNinch, RD,LD
• Newgen Aesthetics & Wellness, LLC (NewGen Physical Therapy)
• Elizabeth Rabon
• Ran-Care Inc (Express Med Pharmacy 2 Mangilao)
• Renal Services of America Mangilao, LLC (Fresenius Kidney Care Mangilao - Guam)
• Kaileilani Noleen SM Shimizu, LCSW-E
• Patricia Abano Solidum, NP

• Registered Dietitian in Mangilao, GU
• Providers in Mangilao, GU by specialty
• Registered Dietitian in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.