Jersey Shore Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

701182 Issued in NJ

Legal business name

JERSEY SHORE NUTRITION

Practice address

129 Route 37 W
Suite 3
Toms River, NJ 08755-6435

Phone

(732) 822-7117

Fax

(732) 240-1304

NPI assigned

Dec 11, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Lenore E. Clark, R.D.NPI 1922239094

Title

Owner

Phone

(732) 822-7117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lenore E. Clark, R.D.

  • Registered Dietitian
  • Toms River, NJ
  • NPI 1922239094

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1508195017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PHILADELPHIA AVE",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087423354",
            "telephone_number": "732-822-7117",
            "fax_number": "732-240-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 ROUTE 37 W",
            "address_2": "SUITE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556435",
            "telephone_number": "732-822-7117",
            "fax_number": "732-240-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LENORE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-822-7117",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "701182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey Pulmonary Care, MD PA
• Jersey Shore Behavioral Therapy LLC
• Jersey Shore Counseling, LLC
• Jersey Shore Medical Associates PC (Meridian-After Hours Immediate Care- Toms River)
• Jersey Shore Myofascial Release Center
• Jersey Shore Podiatry ,LLC
• Jersey Shore Spine LLC
• Jersey Shore Surgery and Vein Center, LLC
• Jersey Spine and Wellness, LLC
• Jeyeye Inc.

• Registered Dietitian in Toms River, NJ
• Providers in Toms River, 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 Dec 11, 2009; 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.