Organization Active NPI

NJ Dietitian LLC

  • Registered Dietitian
  • Hillsborough, NJ
National Provider Identifier
1447738158
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1009998
Legal business name
NJ DIETITIAN LLC
Practice address
3 Randolph Way
Hillsborough, NJ 08844-4388
Phone
(443) 983-9705
NPI assigned
Aug 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Priti Trivedi, RDNPI 1821574385
Title
Registered Dietitian
Phone
(443) 983-9705

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 DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1009998 Primary

Addresses

Primary practice location

3 Randolph Way
Hillsborough, NJ 08844-4388

Mailing address

3 Randolph Way
Hillsborough, NJ 08844-4388
Phone (443) 983-9705

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.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1447738158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RANDOLPH WAY",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444388",
            "telephone_number": "443-983-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RANDOLPH WAY",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444388",
            "telephone_number": "443-983-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ DIETITIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "PRITI",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "443-983-9705",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1009998",
            "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 Aug 3, 2018; 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.