Active NPI
Nutrition Custom Care
- Metabolic Nutrition Registered Dietitian
- Jersey City, NJ
National Provider Identifier
1417617655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- Legal business name
- NUTRITION CUSTOM CARE
- Practice address
- 270 Saint Pauls Ave
Jersey City, NJ 07306-5012 - Phone
- (732) 936-5406
- NPI assigned
- Dec 29, 2021
- Last updated
- Dec 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Lau, RDN, CDN, CLT
- Title
- Registered Dietitian
- Phone
- (732) 936-5406
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Primary |
Addresses
Primary practice location
270 Saint Pauls Ave
Jersey City, NJ 07306-5012
Mailing address
270 Saint Pauls Ave Unit 1
Jersey City, NJ 07306-5012
Phone (917) 238-4714
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Jersey City, NJ
- NPI 1063857142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640736000000",
"number": "1417617655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 SAINT PAULS AVE UNIT 1",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065012",
"telephone_number": "917-238-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 SAINT PAULS AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065012",
"telephone_number": "732-936-5406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION CUSTOM CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A",
"authorized_official_last_name": "LAU",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "732-936-5406",
"authorized_official_credential": "RDN, CDN, CLT"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.