Organization Active NPI

Nourish & Flourish Nutrition Therapy

  • Registered Dietitian
  • Hillsborough, NJ
National Provider Identifier
1427828391
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NOURISH & FLOURISH NUTRITION THERAPY
Practice address
20 Simonson LN
Hillsborough, NJ 08844-5249
Phone
(908) 400-2988
NPI assigned
Jan 3, 2024
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Brianna De la CruzNPI 1225739592
Title
Dietitian
Phone
(908) 400-2988

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
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

20 Simonson LN
Hillsborough, NJ 08844-5249

Mailing address

20 Simonson LN
Hillsborough, NJ 08844-5249
Phone (908) 400-2988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260225000108 NJ Part B Supplier - Clinic/Group Practice 6709367055 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsborough, NJ

National Provider Directory

National Provider Directory

Locations

390 Amwell Rd
Ste 329
Hillsborough, NJ 08844
Phone (732) 907-0810

Practitioners & affiliated clinicians

Practitioners 3

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": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1427828391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SIMONSON LN",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445249",
            "telephone_number": "908-400-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SIMONSON LN",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445249",
            "telephone_number": "908-400-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH & FLOURISH NUTRITION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "908-400-2988"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.