Organization Active NPI

LBS Nutrition LLC

  • Registered Dietitian
  • East Brunswick, NJ
National Provider Identifier
1477096600
Registry record updated Nov 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
973692 Issued in NJ
Legal business name
LBS NUTRITION LLC
Practice address
192 Summerhill Rd
201
East Brunswick, NJ 08816-4950
Phone
(732) 210-9581
NPI assigned
Nov 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2016

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

Authorized official

Name
Lauren B Carey, RDNPI 1003043670
Title
Owner
Phone
(732) 718-9077

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 973692 NJ Primary

Addresses

Primary practice location

192 Summerhill Rd
201
East Brunswick, NJ 08816-4950

Mailing address

675 Raritan Rd
36
Clark, NJ 07066-2209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200603000146 NJ Part B Supplier - Clinic/Group Practice 1658792429 Receives reassigned benefits from 1 practitioner
Practice locations: East Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

B1 Cornwall Dr
East Brunswick, NJ 08816
Phone (732) 210-9581

192 Summerhill Rd
Ste 201
East Brunswick, NJ 08816
Phone (732) 210-9581

12 Roszel Rd
Ste B101
Princeton, NJ 08540

49 Veronica Ave
Ste 105
Somerset, NJ 08873
Phone (732) 246-3066

Practitioners & affiliated clinicians

Practitioners 2

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": "1479600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479600000000",
    "number": "1477096600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 RARITAN RD",
            "address_2": "36",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 SUMMERHILL RD",
            "address_2": "201",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164950",
            "telephone_number": "732-210-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-20",
        "last_updated": "2016-11-20",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-718-9077",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "973692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; 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.