Benjamin Frederick Beideman

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NOT REQUIRED Issued in NJ

Practice address

610 Lacey Rd Unit 749
Forked River, NJ 08731-8037

Phone

(732) 930-1820

NPI assigned

Dec 26, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• BFB.Me LLC

  • Supports Brokerage Agency
  • Forked River, NJ
  • NPI 1104427657
  NPD Authorized official
• Corbium Company

  • Durable Medical Equipment & Medical Supplies
  • Forked River, NJ
  • NPI 1407457054
  NPD
• Vast Array Corporation

  • Customized Equipment (DME)
  • Lakewood, NJ
  • NPI 1265897888
  NPD (past)

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

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1356706972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 LACEY RD UNIT 749",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087318037",
            "telephone_number": "732-930-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 LACEY RD UNIT 749",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087318037",
            "telephone_number": "732-930-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIDEMAN",
        "first_name": "BENJAMIN",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-26",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NJ",
            "license": "NOT REQUIRED",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NJ",
            "license": "NOT REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Ann Barteluce, LPC
• Battaglia Chiropractic Inc.
• Samantha M Battipaglia, M.A. CCC- SLP, IBCLC
• Steven C Beach, D.M.D.
• Beacon Pediatric Therapy Services LLC
• Terri Lei Beideman
• Gary Bell
• Samantha Bendick
• Madison Riley Bennert
• Kathleen L Bernier

• All providers in Forked River, NJ
• Nutritionist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.