Organization Active NPI

Success by Lifestyle

  • Registered Dietitian
  • Haddonfield, NJ
National Provider Identifier
1386106359
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SUCCESS BY LIFESTYLE
Practice address
413 W Crystal Lake Ave
Haddonfield, NJ 08033-2806
Phone
(609) 472-1339
NPI assigned
Apr 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Jessica Cahill, RD
Title
Registered Dietitian
Phone
(609) 472-1339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

413 W Crystal Lake Ave
Haddonfield, NJ 08033-2806

Mailing address

30 Lindis Farne Ave
Haddon Township, NJ 08108-2736

National Provider Directory

National Provider Directory

Locations

413 W Crystal Lake Ave
Haddonfield, NJ 08033
Phone (609) 472-1339

Practitioners & 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": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1386106359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LINDIS FARNE AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W CRYSTAL LAKE AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332806",
            "telephone_number": "609-472-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS BY LIFESTYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "609-472-1339",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.