Barbara L Buonacore, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

708475

Practice address

35 Broad St
Keyport, NJ 07735-1267

Phone

(732) 888-4155

NPI assigned

May 8, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Barbara L Greenspan Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Asbury Park, NJ
  • NPI 1841240561
  Medicare reassignment NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  dba VNACJ CHC Pharmacy

  • Community/Retail Pharmacy
  • Asbury Park, NJ
  • NPI 1205621018
  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  dba Red Bank Primary Care Center

  • Federally Qualified Health Center (FQHC)
  • Red Bank, NJ
  • NPI 1699712166
  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Keyport, NJ
  • NPI 1003867250
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487867859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BROAD ST",
            "city": "KEYPORT",
            "state": "NJ",
            "postal_code": "077351267",
            "telephone_number": "732-888-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BROAD ST",
            "city": "KEYPORT",
            "state": "NJ",
            "postal_code": "077351267",
            "telephone_number": "732-888-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Perrine Pike",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088444363",
            "country_code": "US",
            "telephone_number": "908-369-6487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Main St",
            "address_purpose": "LOCATION",
            "city": "Asbury Park",
            "state": "NJ",
            "postal_code": "077125359",
            "country_code": "US",
            "telephone_number": "732-774-6333",
            "fax_number": "732-774-0313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUONACORE",
        "first_name": "BARBARA",
        "middle_name": "L",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": "708475",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "708475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "GREENSPAN",
            "middle_name": "L",
            "credential": "RD, CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Keyport, NJ
• Providers in Keyport, 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 17, 2018; 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.