Active NPI
Wholesome Nutrition LLC
- Registered Dietitian
- Summit, NJ
National Provider Identifier
1376283606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WHOLESOME NUTRITION LLC
- Practice address
- 103 Crest Drive
Summit, NJ 07901 - Phone
- (908) 420-1856
- NPI assigned
- Apr 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Amanda Ciprich, MS, RD
- Title
- Registered Dietitian
- Phone
- (908) 420-1856
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
103 Crest Drive
Summit, NJ 07901
Mailing address
900 Easton Ave Ste 26
Somerset, NJ 08873-1760
Phone (908) 420-1856
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1376283606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 EASTON AVE STE 26",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731760",
"telephone_number": "908-420-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CREST DRIVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "07901",
"telephone_number": "908-420-1856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLESOME NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-01",
"last_updated": "2024-11-04",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "CIPRICH",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "908-420-1856",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MS, RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.