Organization Active NPI

Energize Your Life, LLC

Doing business as Energize Your Life

  • Registered Dietitian
  • Oceanport, NJ
National Provider Identifier
1386231116
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ENERGIZE YOUR LIFE, LLC
Doing business as
Energize Your Life
Practice address
108 Main St
Oceanport, NJ 07757-1030
Phone
(732) 786-4032
NPI assigned
Dec 28, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Christina D'Angelo, MS, RDN
Title
Registered Dietitian Nutritionist
Phone
(732) 614-0094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

108 Main St
Oceanport, NJ 07757-1030

Mailing address

3 Richmond Rd
Manalapan, NJ 07726-1742
Phone (732) 614-0094

Other names 1

  • Energize Your Life Doing business as

National Provider Directory

National Provider Directory

Locations

108 Main St
Oceanport, NJ 07757
Phone (732) 530-1005

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1386231116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RICHMOND RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261742",
            "telephone_number": "732-614-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAIN ST",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571030",
            "telephone_number": "732-786-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGIZE YOUR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "732-614-0094",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Energize Your Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.