Individual provider Active NPI

Chana Goldbrenner, MS, CNS

  • Nutritionist
  • Lakewood, NJ
National Provider Identifier
1487102901
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
542 Arlington Ave
Lakewood, NJ 08701-4817
Phone
(732) 952-2013
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary
Nutrition Education Nutritionist 133NN1002X

Addresses

Primary practice location

542 Arlington Ave
Lakewood, NJ 08701-4817

Mailing address

542 Arlington Ave
Lakewood, NJ 08701-4817
Phone (732) 952-2013

Other names 1

  • Mrs. Helene Chana Goldbrenner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist, Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1487102901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 ARLINGTON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014817",
            "telephone_number": "732-952-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 ARLINGTON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014817",
            "telephone_number": "732-952-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBRENNER",
        "first_name": "CHANA",
        "name_prefix": "Mrs.",
        "credential": "MS, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELENE",
            "last_name": "GOLDBRENNER",
            "middle_name": "CHANA",
            "prefix": "MRS.",
            "credential": "MS, CNS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.