Caitlyn Liptak King, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86002881 Issued in NJ

Practice address

200 Wyckoff Road, Suite 4200
Eatontown, NJ 07724-7632

Phone

(732) 935-7143

Fax

(732) 935-7245

NPI assigned

Jun 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1336677301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WYCKOFF ROAD, SUITE 4200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077247632",
            "telephone_number": "732-935-7143",
            "fax_number": "732-935-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WYCKOFF ROAD, SUITE 4200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077247632",
            "telephone_number": "732-935-7143",
            "fax_number": "732-935-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTAK KING",
        "first_name": "CAITLYN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NJ",
            "license": "86002881",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86002881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336677301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Mulheren Levitt, LCSW
• Boning Li
• Pesel Lieber, LSW
• Connie Lieberman, LSW
• Lighthouse Counseling & Sand Play Training Center, LLC
• Andrew Liscio, RN
• Kenneth A Liss, DO
• Jason David Litsky, DO
• Marcia Liu, M.D.
• Douglas Scott Livornese, M.D.

• Registered Dietitian in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.