Individual provider Active NPI

Susan Marie Zeukas-Jost, MA

  • Nutritionist
  • West Long Branch, NJ
National Provider Identifier
1376578203
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
103 Parker Rd
Suite B
West Long Branch, NJ 07764
Phone
(732) 923-4100
Fax
(732) 923-1772
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

103 Parker Rd
Suite B
West Long Branch, NJ 07764

Mailing address

841 Lincoln Blvd
Middlesex, NJ 08846
Phone (908) 902-5453

Other names 1

  • Miss Susan Marie Zeukas Former name

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376578203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 LINCOLN BLVD",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "08846",
            "telephone_number": "908-902-5453",
            "fax_number": "732-356-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARKER RD",
            "address_2": "SUITE B",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "07764",
            "telephone_number": "732-923-4100",
            "fax_number": "732-923-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEUKAS-JOST",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ZEUKAS",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.