John Edward Bock, LDN

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

DN002740 Issued in NJ

Practice address

2275 Whitehorse Mercerville Rd
Suite 9
Hamilton, NJ 08619-2643

Phone

(609) 642-1442

Fax

(609) 642-1438

NPI assigned

Oct 15, 2009

Last updated

Jul 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrated Nutrition Therapy, L.L.C

  • Registered Dietitian
  • Hamilton, NJ
  • NPI 1578879045
  Medicare reassignment
• Kingley Health Services NJ LLC

  • Clinical Psychologist
  • Iselin, NJ
  • NPI 1538497516
  NPD (past)
• Mindful Eating Company LLC

  • Registered Dietitian
  • Piscataway, NJ
  • NPI 1295816056
  NPD (past)

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1508191172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 9",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192643",
            "telephone_number": "609-642-1442",
            "fax_number": "609-642-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 9",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192643",
            "telephone_number": "609-642-1442",
            "fax_number": "609-642-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NJ",
            "license": "DN002740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bionic Prosthetics and Orthotics Group LLC
• BJ's Wholesale Club Inc.
• Gurvan E. Blackman, MD
• Danielle Sara Blum, M.A. CCC-SLP
• Matthew Scott Blutfield, DPM
• Kevin Bodine
• Marilynn Dora Boim, M.D.
• Leanna Boknoski
• Danielle Bollaci, MA, LAC
• Deanna Bond

• Metabolic Nutrition Registered Dietitian in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Metabolic Nutrition Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.