Individual provider Active NPI

Kristen Marie Sugarman, RD

  • Registered Dietitian
  • Princeton, NJ
National Provider Identifier
1417140005
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
912449 Issued in NJ
Practice address
253 Witherspoon St
Eating Disorders Program
Princeton, NJ 08540-3211
Phone
(609) 497-4000
Fax
(609) 497-4412
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 912449 NJ Primary

Addresses

Primary practice location

253 Witherspoon St
Eating Disorders Program
Princeton, NJ 08540-3211

Mailing address

253 Witherspoon St
Eating Disorders Program
Princeton, NJ 08540-3211
Phone (609) 497-4000

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

LicenseStateTypeSpecialty
912449NJMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1417140005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 WITHERSPOON ST",
            "address_2": "EATING DISORDERS PROGRAM",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403211",
            "telephone_number": "609-497-4000",
            "fax_number": "609-497-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 WITHERSPOON ST",
            "address_2": "EATING DISORDERS PROGRAM",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403211",
            "telephone_number": "609-497-4000",
            "fax_number": "609-497-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGARMAN",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "912449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.