Optimum Health & Fitness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1096687 Issued in NJ

Legal business name

OPTIMUM HEALTH & FITNESS LLC

Practice address

566 State RT 23
Pompton Plains, NJ 07444-1420

Phone

(862) 248-0861

NPI assigned

Jul 8, 2015

Organization subpart

No

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

Authorized official

Name

Kibria Alexander Golam

Title

Director

Phone

(862) 248-0861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1396128377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 STATE RT 23",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 STATE RT 23",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441420",
            "telephone_number": "862-248-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH & FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "GOLAM",
        "authorized_official_first_name": "KIBRIA",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "862-248-0861"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "1096687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Oconnor
• Jessica Okken
• Patrick Jonathan Olowski
• Ompt Pelvic Health & Wellness
• Optimal Movement PT
• Optimum Orthopedics Pompton Plains LLC
• Peter Thomas Orlic, MD
• Paul A Ostergaard, MDPC
• Our Birthing Center of North Jersey
• Chrisann Palmieri, CNM

• Registered Dietitian in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.