Active NPI
Nicole Kekesi
- Registered Dietitian
- Columbus, NJ
National Provider Identifier
1346623915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 940264
- Practice address
- 1 Pedersen CT
Columbus, NJ 08022-2257 - Phone
- (609) 468-8121
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 940264 | NJ | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | 11146140 | NJ |
Addresses
Primary practice location
1 Pedersen CT
Columbus, NJ 08022-2257
Mailing address
1 Pedersen CT
Columbus, NJ 08022-2257
Phone (609) 468-8121
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 940264 | NJ | MD | Registered Dietitian |
| 11146140 | NJ | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1346623915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PEDERSEN CT",
"city": "COLUMBUS",
"state": "NJ",
"postal_code": "080222257",
"telephone_number": "609-468-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PEDERSEN CT",
"city": "COLUMBUS",
"state": "NJ",
"postal_code": "080222257",
"telephone_number": "609-468-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEKESI",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "940264",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NJ",
"license": "11146140",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.