KSRD Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

962920 Issued in NJ

Legal business name

KSRD NUTRITION LLC

Practice address

600 Valley Rd
Suite LLR1
Wayne, NJ 07470-3535

Phone

(973) 518-2674

NPI assigned

Aug 8, 2012

Last updated

Jun 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krista L Stelmach, R.D.NPI 1699002113

Title

Owner

Phone

(973) 518-2674

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krista L. Stelmach, R.D.

  • Registered Dietitian
  • Wayne, NJ
  • NPI 1699002113
  Authorized official Same address or phone

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1548517626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VALLEY RD",
            "address_2": "SUITE LLR1",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703535",
            "telephone_number": "973-518-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VALLEY RD",
            "address_2": "SUITE LLR1",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703535",
            "telephone_number": "973-518-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSRD NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "STELMACH",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-518-2674",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "962920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert David Kramberg, M.D.
• Patricia Ann Kramer, M.A., ED.S
• Anna Kravtsov, D.O
• Roman Kreyman, DC
• Kristina Oyarzun LLC
• Laura Ann Ksyniak, CCC-SLP
• Erhan Kucuk, M.D.
• Brianna Kulick
• Catherine Kunz
• Ana Kurashvili

• Registered Dietitian in Wayne, NJ
• Providers in Wayne, 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 Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.