Active NPI
Rooted Living LLC
- Registered Dietitian
- Fair Lawn, NJ
National Provider Identifier
1508517855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- ROOTED LIVING LLC
- Practice address
- 20-21 Wagaraw Road
Suite 34
Fair Lawn, NJ 07410 - Phone
- (201) 566-4831
- NPI assigned
- Jan 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corale Naor, RDN
- Title
- Owner
- Phone
- (201) 566-4831
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
20-21 Wagaraw Road
Suite 34
Fair Lawn, NJ 07410
Mailing address
20-21 Wagaraw Road
Suite 34
Fair Lawn, NJ 07410
Phone (201) 566-4831
National Provider Directory
National Provider DirectoryLocations
20-21 Wagaraw Rd
Bldg 34
Fair Lawn, NJ 07410
Phone (201) 566-4831
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642464000000",
"number": "1508517855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20-21 WAGARAW ROAD",
"address_2": "SUITE 34",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-566-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20-21 WAGARAW ROAD",
"address_2": "SUITE 34",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-566-4831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-18",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A",
"authorized_official_last_name": "NAOR",
"authorized_official_first_name": "CORALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-566-4831",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.