Ann Espinoza, RD

Individual provider Active NPI Registered Dietitian · Iselin, NJ

NPI 1497966618 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497966618
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
944007 (NJ)
Practice address
530 Green St
Iselin, NJ 08830-2638
Phone
(732) 283-1900
Fax
(908) 903-1672
NPI assigned
May 28, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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

Medicare Care Compare profile

Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SHS Nutrition, LLC (2 clinicians)

Practice addresses (Care Compare)

24 Stelton Rd
Piscataway
Piscataway, NJ 08854-2639
Phone (732) 395-1282

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180212002421 NJ Practitioner - Registered Dietitian Or Nutrition Professional 0143580191 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
944007NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
SHS Nutrition, LLC Dietitian, Registered Current
since Jan 1, 2018
Accepting new patients
Mindful Eating Company LLC Dietitian, Registered Past Accepting new patients
Kingley Health Services NJ LLC Past Accepting new patients

Locations

24 Stelton Rd
Piscataway, NJ 08854
Phone (732) 395-1282

24 Stelton Rd
Ste D
Piscataway, NJ 08854
Phone (732) 395-1282

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 944007 NJ Yes

Addresses

Primary practice location

530 Green St
Iselin, NJ 08830-2638

Mailing address

20 Thistle LN
Warren, NJ 07059-5564
Phone (908) 903-1670

Other providers in Iselin, NJ

All providers in Iselin, NJ · Registered Dietitian in New Jersey

Sources for this page

Verify at the official NPI Registry.