Organization Active NPI

Nutrition Custom Care

  • Metabolic Nutrition Registered Dietitian
  • Jersey City, NJ
National Provider Identifier
1417617655
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Janet Lau, RDN, CDN, CLTNPI 1063857142
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)CodeLicenseStatePrimary
Metabolic Nutrition Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.