Shore Nutrition Associates

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

SHORE NUTRITION ASSOCIATES

Practice address

1201 Springwood Ave Ste 104
Asbury Park, NJ 07712-6796

Phone

(732) 539-3584

NPI assigned

Jan 21, 2019

Last updated

Oct 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James R Montgomery IV, RDNPI 1821581869

Title

Rd/Owner

Phone

(732) 539-3584

Specialties & licenses 1

Addresses

Locations

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.

• James R Montgomery IV, RD

  • Registered Dietitian
  • Asbury Park, NJ
  • NPI 1821581869
  Authorized official Same address or phone

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1457825622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SPRINGWOOD AVE STE 104",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126796",
            "telephone_number": "732-539-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SPRINGWOOD AVE STE 104",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126796",
            "telephone_number": "732-539-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE NUTRITION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RD/OWNER",
        "authorized_official_telephone_number": "732-539-3584",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Asbury Park, NJ
• Providers in Asbury Park, NJ by specialty
• Nutritionist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.