Individual provider Active NPI

Jennifer Bossard, RD

  • Registered Dietitian
  • Warren, NJ
National Provider Identifier
1346573144
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
01024154 Issued in NJ
Practice address
20 Thistle LN
Warren, NJ 07059-5564
Phone
(908) 903-1670
Fax
(908) 903-1672
NPI assigned
Sep 10, 2009
Last updated
Sep 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 01024154 NJ Primary

Addresses

Primary practice location

20 Thistle LN
Warren, NJ 07059-5564

Mailing address

530 Green St
Iselin, NJ 08830-2654
Phone (732) 283-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01024154NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Eating Company LLC Dietitian, Registered Past Accepting new patients
Kingley Health Services NJ LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1346573144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 GREEN ST",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302654",
            "telephone_number": "732-283-1900",
            "fax_number": "908-903-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 THISTLE LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595564",
            "telephone_number": "908-903-1670",
            "fax_number": "908-903-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSARD",
        "first_name": "JENNIFER",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "01024154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.