Individual provider Active NPI

Sara Soyeju, RDN

  • Registered Dietitian
  • Jersey City, NJ
National Provider Identifier
1376339911
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
987335 Issued in NJ
Practice address
312 Paterson Plank Rd Apt 1
Jersey City, NJ 07307-1032
Phone
(210) 248-7475
NPI assigned
Apr 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 987335 NJ Primary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 007729 NY

Addresses

Primary practice location

312 Paterson Plank Rd Apt 1
Jersey City, NJ 07307-1032

Mailing address

312 Paterson Plank Rd Apt 1
Jersey City, NJ 07307-1032
Phone (210) 248-7475

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

LicenseStateTypeSpecialty
987335NJMDRegistered Dietitian
007729NYMDObesity and Weight Management Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1376339911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 PATERSON PLANK RD APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071032",
            "telephone_number": "210-248-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PATERSON PLANK RD APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071032",
            "telephone_number": "210-248-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOYEJU",
        "first_name": "SARA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "987335",
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NY",
            "license": "007729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.