Medical Nutrition of NJ, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MEDICAL NUTRITION OF NJ, LLC

Practice address

137 Union Blvd
Totowa, NJ 07512

Phone

(862) 257-1297

Fax

(862) 257-1299

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Perla Mizrahi Nelson, RDN

Title

President/Owner

Phone

(862) 257-1297

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1477989218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "07512",
            "telephone_number": "862-257-1297",
            "fax_number": "862-257-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "07512",
            "telephone_number": "862-257-1297",
            "fax_number": "862-257-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL NUTRITION OF NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2022-03-24",
        "certification_date": "2022-01-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PERLA",
        "authorized_official_middle_name": "MIZRAHI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "862-257-1297",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.