Active NPI
Kaysha Quiles
- Registered Dietitian
- Clifton, NJ
National Provider Identifier
1407549843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86211435
- Practice address
- 716 Broad St Ste 2
Clifton, NJ 07013-1645 - Phone
- (973) 910-1533
- Fax
- (862) 239-5241
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86211435 | NJ | Primary |
Addresses
Primary practice location
716 Broad St Ste 2
Clifton, NJ 07013-1645
Mailing address
90 Sunrise Ter
Cedar Grove, NJ 07009-1423
Phone (973) 910-1533
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86211435 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RDN Nutrition Counseling LLC | 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": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1407549843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 SUNRISE TER",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091423",
"telephone_number": "973-910-1533",
"fax_number": "862-239-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 BROAD ST STE 2",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131645",
"telephone_number": "973-910-1533",
"fax_number": "862-239-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILES",
"first_name": "KAYSHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86211435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.